Individual
VANESSA NOWOSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005126
CO
363AM0700X
Medical Physician Assistant
PA.0005126
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000155450
—
CO
Enumeration date
05/31/2017
Last updated
08/16/2026
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