Provider Demographics
NPI:1851050058
Name:COLLINS, STEVIE MARIE (APRN-BC CNP)
Entity type:Individual
Prefix:
First Name:STEVIE
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:APRN-BC CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 862
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-0862
Mailing Address - Country:US
Mailing Address - Phone:901-517-4021
Mailing Address - Fax:
Practice Address - Street 1:605 S 16TH AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4196
Practice Address - Country:US
Practice Address - Phone:406-582-2135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT196807363LF0000X
TN174737163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse