Collis, Elizabeth Mary
Collis, Elizabeth Mary is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Collis, Elizabeth Mary can be contacted via phone (414) 805-4777.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-4777
Fax: (414) 805-4774
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 150023-32 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 13987-33 | Wisconsin |
Profile Details
NPI number | 1306532247 |
---|---|
LBN Legal business name | Collis, Elizabeth Mary |
Credentials | MSN, CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2023 |
Last updated | Mar 27th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306532247 | NPPES |
Wisconsin | MEDICAID | 1306532247 |
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