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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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