Collar, Kristin M

Collar, Kristin M is an individual health care provider with primary practice located at 405 Commercial St , Seymour WI 54165-8474. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Collar, Kristin M can be contacted via phone (920) 833-2318.

Contact Information

Primary practice address
405 Commercial St Seymour WI 54165-8474
Phone: (920) 833-2318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 154400 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4489-33 Wisconsin

Profile Details

NPI number 1265711311
LBN Legal business name Collar, Kristin M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated Apr 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265711311 NPPES
Wisconsin MEDICAID 1265711311

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