Transform The Nest | |
706 S College Ave Ste 207 Fort Collins CO 80524-9860 | |
(970) 239-3553 | |
Not Available |
Full Name | Transform The Nest |
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Speciality | Social Worker |
Location | 706 S College Ave Ste 207, Fort Collins, Colorado |
Authorized Official Name and Position | Jennifer Phippen (OWNER) |
Authorized Official Contact | 9702393553 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Transform The Nest 706 S College Ave Ste 207 Fort Collins CO 80524-9860 Ph: () - | Transform The Nest 706 S College Ave Ste 207 Fort Collins CO 80524-9860 Ph: (970) 239-3553 |
NPI Number | 1215561857 |
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Provider Enumeration Date | 02/22/2020 |
Last Update Date | 09/13/2021 |
Certification Date | 09/13/2021 |
Medicare PECOS PAC ID | 3779912209 |
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Medicare Enrollment ID | O20200406000219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215561857 | NPI | - | NPPES |
Provider Name | Jennifer Phippen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821571423 PECOS PAC ID: 2466796222 Enrollment ID: I20181205000259 |
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