Provider Demographics
NPI:1902691280
Name:COLLINS, GARY A (RN)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:A
Last Name:COLLINS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2300 SUTTER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3029
Mailing Address - Country:US
Mailing Address - Phone:415-336-4300
Mailing Address - Fax:415-989-0099
Practice Address - Street 1:2300 SUTTER ST STE 205
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3029
Practice Address - Country:US
Practice Address - Phone:415-336-4300
Practice Address - Fax:415-989-0099
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA830408163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health