Basic Information
Provider Information
NPI: 1932569977
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COLLIER
FirstName: CATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
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OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 115 LINCOLN ST
Address2:  
City: FRAMINGHAM
State: MA
PostalCode: 017026358
CountryCode: US
TelephoneNumber: 5083341000
FaxNumber:  
Practice Location
Address1: 119 BELMONT ST
Address2:  
City: WORCESTER
State: MA
PostalCode: 016052903
CountryCode: US
TelephoneNumber: 5083341000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/03/2016
LastUpdateDate: 09/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XRN273901MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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