Provider Demographics
NPI:1821972837
Name:COLLINS, CLAY PAUL (RN)
Entity type:Individual
Prefix:
First Name:CLAY
Middle Name:PAUL
Last Name:COLLINS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 ORIOLE ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-1240
Mailing Address - Country:US
Mailing Address - Phone:985-226-3410
Mailing Address - Fax:
Practice Address - Street 1:118 ORIOLE ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-1240
Practice Address - Country:US
Practice Address - Phone:985-226-3410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program