Organization
AQUAMIND PSYCHIATRY PLLC
Active
Other names
AquaMind Psych
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA CRUZ KAUFFMAN MSN, PMHNP-BC (OWNER)
(404) 406-2763
Entity
Organization
Contact information
Practice address
1608 WHEDBEE ST, FORT COLLINS, CO 80525-1045
(404) 406-2763
(970) 788-7279
Mailing address
1608 WHEDBEE ST, FORT COLLINS, CO 80525-1045
(404) 406-2763
(970) 788-7279
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457715831
—
CO
Enumeration date
06/04/2024
Last updated
06/04/2024
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