Organization
CRESCENT MOON PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MIRANDA PMHNP (OWNER)
(970) 427-2820
Entity
Organization
Contact information
Practice address
1302 S SHIELDS ST STE A1-2, FORT COLLINS, CO 80521-4801
(970) 427-2820
(970) 585-8169
Mailing address
1302 S SHIELDS ST STE A1-2, FORT COLLINS, CO 80521-4801
(970) 427-2820
(970) 585-8169
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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