Mack, Virginia Caryl
Mack, Virginia Caryl is an sole proprietor health care provider with primary practice located at Cirque Meadow Psychiatry 211 West Myrte Street, Suite 207, Fort Collins CO 80521-2971. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mack, Virginia Caryl can be contacted via phone (360) 621-1409.Contact Information
Primary practice address
Cirque Meadow Psychiatry 211 West Myrte Street, Suite 207
Fort Collins CO 80521-2971
Phone: (360) 621-1409
Fax: (848) 213-0217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP990068 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN0990068-NP | Colorado |
Profile Details
| NPI number | 1548552904 |
|---|---|
| LBN Legal business name | Mack, Virginia Caryl |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2011 |
| Last updated | Jul 24th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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