# MOUNTAIN MEADOW WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487279998
- **Authorized official:** CHRISTINE THURSTON PMHNP (OWNER)
- **Authorized official phone:** (970) 315-7724

## Contact information

- **Practice address:** 2625 REDWING RD STE 175, FORT COLLINS, CO 80526-6324
- **Practice address phone:** (970) 315-7724
- **Mailing address:** 2625 REDWING RD STE 175, FORT COLLINS, CO 80526-6324
- **Mailing address phone:** (970) 315-7724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 06/17/2021