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Contact Information

CIRQUE MEADOW PSYCHIATRY
CIRQUE MEADOW PSYCHIATRY
211 WEST MYRTE STREET, SUITE 207
FORT COLLINS, CO80521-2971
 Phone: 360-621-1409
 Fax: 848-213-0217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Adolescent

364SP0807X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for CIRQUE MEADOW PSYCHIATRY · (Female)

NPI # 1578184230
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2020
Last updated 07/29/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Other APN0990068-NP MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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