Individual
MRS. PRISCILLA J. VIRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1106 E PROSPECT RD, SUITE 100, FORT COLLINS, CO 80525-5304
(970) 495-7410
(970) 495-7425
Mailing address
1106 E PROSPECT RD, SUITE 100, FORT COLLINS, CO 80525-5304
(970) 495-7410
(970) 495-7425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
149
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33522316
—
CO
Enumeration date
10/06/2009
Last updated
01/26/2015
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