MINDWORKS WELLNESS NPI 1073154563

NPI Information

NPI: 1073154563
Provider Name: MINDWORKS WELLNESS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1136 E STUART ST
FORT COLLINS, CO
ZIP 80525
Phone: (970) 658-0535
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MINDWORKS WELLNESS is a psychiatric/mental health nurse practitioner in Fort Collins, CO. MINDWORKS WELLNESS NPI is 1073154563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1136 E STUART ST
FORT COLLINS, CO
ZIP 80525-195
Phone: (970) 658-0535

The provider's authorized official is Elizabeth Walton .
The authorized official title is Ceo/owner and has the following contact phone number (970) 658-0535.

The enumeration date for this NPI number is 10/5/2019 and was last updated on 10/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1871918045	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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