Collins, Mistie Holly

Collins, Mistie Holly is an individual health care provider with primary practice located at 2900 Chancellor Dr , Crestview Hills KY 41017. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Collins, Mistie Holly can be contacted via phone (859) 341-0228.

Contact Information

Primary practice address
2900 Chancellor Dr Crestview Hills KY 41017
Phone: (859) 341-0228
Fax: (859) 341-7482
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1101565 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6752P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.11948-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3006752 Kentucky

Profile Details

NPI number 1104128651
LBN Legal business name Collins, Mistie Holly
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2010
Last updated Sep 7th, 2018 - about 8 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 1104128651 NPPES
Ohio MEDICAID 0052835
Ohio MEDICAID 7100167790
Ohio Other P00920266
Ohio Other P00954943

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