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NPI 1114296159

NPI 1114296159 : MICHELLE E NORTH FNP : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1114296159
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE E NORTH FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/20/2011
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    2260 W TRILBY RD 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80526-9650
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    Country              |    US
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    Telephone            |    970-494-4200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4856 INNOVATION DR 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80525-5539
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    Country              |    US
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    Telephone            |    970-494-4200
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    Fax                  |    844-270-1824
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP4304
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    C-APN.0103482-C-NP
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    C-APN.0103482-C-NP
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    License Number State |    CO
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