Organization
MOUNTAIN MEADOW WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE THURSTON PMHNP (OWNER)
(970) 315-7724
Entity
Organization
Contact information
Practice address
2625 REDWING RD STE 175, FORT COLLINS, CO 80526-6324
(970) 315-7724
Mailing address
2625 REDWING RD STE 175, FORT COLLINS, CO 80526-6324
(970) 315-7724
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/17/2021
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