Individual
MICHELLE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3800 AUTOMATION WAY, FORT COLLINS, CO 80525-3449
(970) 427-2820
(970) 585-8169
Mailing address
1302 S SHIELDS ST UNIT A2-4, FORT COLLINS, CO 80521-4803
(970) 427-2820
(970) 585-8169
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP125990
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0000456-C-NP
CO
Other
Enumeration date
08/18/2014
Last updated
01/20/2023
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