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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. VIRGINIA CARYL MACK, NP

Active Sole Proprietor

MRS. VIRGINIA CARYL MACK, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FORT COLLINS, Colorado. NPI 1548552904 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · FORT COLLINS, CO

Registration Details

NPI Number
1548552904
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2011 (15.096531287268 yrs)
Last Updated
Jul 24, 2020
Licenses
NP990068 (CO)
APN0990068-NP (CO)
Sole Proprietor
Yes

Practice Information

Address
CIRQUE MEADOW PSYCHIATRY
211 WEST MYRTE STREET, SUITE 207
FORT COLLINS, CO, 805212971
Browse CO providers · Browse ZIP 80521
Phone
3606211409
Fax
8482130217

Other Psychiatric/Mental Health Nurse Practitioner Providers in FORT COLLINS, CO

Name Credential NPI
CHRISTINA SCHULTZ MS,CNP 1104801661
LISA L TENNYSON FNP-BC, PMHNP 1871562603
MS. CAROLE A DIAMOND MSN, PMHNP-BC, FNP-C 1548297864
MR. JAPHETH GENE HESSLER APRN, BC 1649204686
MS. MARY CAVANAUGH MCAFEE M.S. FNP-C 1811001639
MS. SUE EVANS PERCHEMLIDES RN,CS 1417049784
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.