MRS. VIRGINIA CARYL MACK NP NPI 1548552904

NPI Information

NPI: 1548552904
Provider Name: MRS. VIRGINIA CARYL MACK, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
CIRQUE MEADOW PSYCHIATRY
211 WEST MYRTE STREET, SUITE 207
FORT COLLINS, CO
ZIP 80521
Phone: (360) 621-1409
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MRS. Virginia Caryl Mack, NP is a psychiatric/mental health nurse practitioner in Fort Collins, CO with 14 years of experience. MRS. Virginia Caryl Mack, NP NPI is 1548552904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

CIRQUE MEADOW PSYCHIATRY
211 WEST MYRTE STREET, SUITE 207
FORT COLLINS, CO
ZIP 80521-971
Phone: (360) 621-1409
Fax: (848) 213-0217

The NPI 1548552904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2011 and was last updated on 7/24/2020.

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	NP990068	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN0990068-NP	COLORADO	Yes

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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