Organization
SOLARIS INTEGRATIVE PSYCHIATRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MIRANDA PMHNP-BC (OWNER)
(512) 922-7717
Entity
Organization
Contact information
Practice address
1302 S SHIELDS ST UNIT A2-4, FORT COLLINS, CO 80521-4803
(970) 676-3370
Mailing address
1302 S SHIELDS ST UNIT A2-4, FORT COLLINS, CO 80521-4803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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