MRS. VIRGINIA CARYL MACK NP NPI 1548552904

NPI Information

  • NPI: 1548552904
  • Provider Name: MRS. VIRGINIA CARYL MACK, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • 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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NPI Details

MRS. Virginia Caryl Mack, NP is a psychiatric/mental health nurse practitioner in Fort Collins, CO. 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 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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNP990068COLORADONo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN0990068-NPCOLORADOYes

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: 3/30/2025

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