Most Relevant Information
Provider Data
| NPI Number: | 1003315789 |
| Provider Name: | HOLLY MARIE COLLINS FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 47201 |
Most Important Dates
| Enumeration Date: | 02/07/2018 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
7173 E SUPER 1 LOOP
STE B
ATHOL
ID
83801
Practice Location Phone/Fax
| Phone: | 2085619901 |
| Fax: | 2085619968 |
Provider Mailing Location
1593 E POLSTON AVE
POST FALLS
ID
838545326
Provider Mailing Phone/Fax
| Phone: | 2082622300 |
| Fax: | 2082622390 |