Provider Demographics
NPI:1548151368
Name:COLLIER, MADELINE NIELSON (FNP-C)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:NIELSON
Last Name:COLLIER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:EILEEN
Other - Last Name:NIELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:ATTN CREDENTIALING
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:2183 W MAIN ST STE A107
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-6761
Practice Address - Country:US
Practice Address - Phone:385-203-1215
Practice Address - Fax:801-655-5217
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10846291-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily