Organization
ALPENGLOW PSYCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLLIN MICHAEL ZANDER PMHNP-BC, FNP-BC (OWNER)
(970) 310-4389
Entity
Organization
Contact information
Practice address
2004 W 15TH ST STE 3, LOVELAND, CO 80538-3551
(970) 310-4389
Mailing address
PO BOX 272213, FORT COLLINS, CO 80527-2213
(970) 310-4389
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992086839
—
CO
Enumeration date
03/17/2020
Last updated
03/17/2020
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