Individual
VANESSA RENE VASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1107 S LEMAY AVE STE 300, FORT COLLINS, CO 80524-3955
(970) 493-7442
(970) 493-2990
Mailing address
4568 GRAHAM CT, LOVELAND, CO 80538-1578
(714) 397-9132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0186003
CO
363L00000X
Nurse Practitioner
Primary
994462
CO
Other
Enumeration date
12/16/2018
Last updated
02/21/2019
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