Individual
VANESSA NOWOSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(720) 738-8420
Mailing address
4580 DEL RIO CT, DENVER, CO 80239-5017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0005126
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0005126
CO
Other
Enumeration date
05/31/2017
Last updated
03/31/2021
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