Lookup NPI Numbers from the NPI Registry
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 |
| NPI Number | 1578184230 |
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| LBN Legal business name | CIRQUE MEADOW PSYCHIATRY | ||||
| Authorized official | VIRGINIA MACK - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/04/2020 | ||||
| Last updated | 07/29/2020 - About 6 years ago | ||||
| Identifiers |
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CIRQUE MEADOW PSYCHIATRY
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CIRQUE MEADOW PSYCHIATRY