Organization
KALEIDOSCOPE WELLNESS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREEN ANN BRENNAN HERRON NP (PMHNP)
(570) 772-4633
Entity
Organization
Contact information
Practice address
1136 E STUART ST BLDG 4, FORT COLLINS, CO 80525-1195
(970) 670-0913
Mailing address
1136 E STUART ST BLDG 4, FORT COLLINS, CO 80525-1195
(970) 670-0913
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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