Provider Demographics
NPI:1558787697
Name:COLL, KATIE ANN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:ANN
Last Name:COLL
Suffix:
Gender:
Credentials:PA-C
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Mailing Address - Street 1:4318 NORTHERN PIKE STE 203
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2846
Mailing Address - Country:US
Mailing Address - Phone:412-206-1158
Mailing Address - Fax:412-219-5205
Practice Address - Street 1:4318 NORTHERN PIKE STE 203
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2846
Practice Address - Country:US
Practice Address - Phone:412-206-1158
Practice Address - Fax:412-219-5205
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA056761363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant