Crescent Moon Psychiatry LLC
NPI #1063392934 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1063392934
- Entity Type
- Organization
- Organization Name
- Crescent Moon Psychiatry LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 3, 2025
- Last Updated
- Sep 3, 2025
Practice Location
- Address
- 1302 S SHIELDS ST STE A1-2
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80521-4801
- Phone
- (970) 427-2820
Authorized Official
- Name
- MICHELLE MIRANDA, PMHNP
- Title
- OWNER
- Phone
- (970) 427-2820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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