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NPI Code Detail

MEDICARE: AMIRA MISURATI BS

MEDICARE: AMIRA MISURATI BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1871042846
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIRA MISURATI BS
Provider Business Mailing Address
First Line : 125 CRESTRIDGE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3934
Country : US
Telephone Number : 970-494-4200
Fax Number :
Provider Business Practice Location Address
First Line : 214 S WHITCOMB ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2642
Country : US
Telephone Number : 970-494-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2016
Last Update Date : 07/21/2022

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