Provider Demographics
NPI:1972335115
Name:COLLIER, AVALYN (CD)
Entity type:Individual
Prefix:
First Name:AVALYN
Middle Name:
Last Name:COLLIER
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22828 RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-8867
Mailing Address - Country:US
Mailing Address - Phone:425-931-7589
Mailing Address - Fax:
Practice Address - Street 1:22828 RAYMOND ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-8867
Practice Address - Country:US
Practice Address - Phone:425-931-7589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula