Individual
VANESSA ARACELI CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206
(303) 388-4461
(303) 398-1211
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2762
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA02043
TN
363AM0700X
Medical Physician Assistant
PA19957
CA
363AM0700X
Medical Physician Assistant
Primary
PA4558
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700038866
—
CO
Enumeration date
10/21/2008
Last updated
02/19/2021
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