Individual
VANESSA PROSPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3055 ROSLYN ST, DENVER, CO 80238-3323
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2904
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0002904
CO
Other
Enumeration date
10/17/2009
Last updated
11/29/2022
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