Aquamind Psychiatry PLLC
Nurse Practitioner, Psych/Mental Health in Fort Collins, CO. Organization (NPI-2).
NPI number1083455992
StatusActive
Last updated in NPPESJun 4, 2024
Details
- NPI
- 1083455992
- Entity type
- Organization (NPI-2)
- Legal business name
- Aquamind Psychiatry PLLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2024
- Certification date
- Jun 4, 2024
- Last updated
- Jun 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Other names
- Aquamind Psych (Doing Business As)
Practice location
1608 Whedbee StFort Collins, CO 80525-1045
Phone 404-406-2763 · Fax 970-788-7279
Mailing address
1608 Whedbee StFort Collins, CO 80525-1045
Phone 404-406-2763 · Fax 970-788-7279
Authorized official
Rosa Cruz Kauffman
Owner
4044062763
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