Individual
LAUREN MANZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
375 E HORSETOOTH RD BLDG 3101, FORT COLLINS, CO 80525-3197
(970) 805-0416
Mailing address
2256 MILTON LN, FORT COLLINS, CO 80524-2578
(918) 914-9760
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0998788-NP
CO
Other
Enumeration date
07/17/2023
Last updated
09/18/2024
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