Vanessa Wittstruck PA-C

NPI 1023447679 - Physician Assistant - 363A00000X

NPI Details
NPI 1023447679
Gender Female
Enumeration Date 11/04/2013
Last Updated 01/28/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
2429 35TH AVE
GREELEY CO, 80634-4171, US
Phone (303) 338-4545
Fax
Business Location
2429 35TH AVE
GREELEY CO, 80634-4171, US
Phone (303) 338-4545
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Kansas
License Number 15-01650
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According to our database, Vanessa Wittstruck PA-C NPI is 1023447679, taxonomy code is 363A00000X and license number is 15-01650, license state is located at Kansas. Vanessa Wittstruck PA-C physically located at 2429 35th Ave, Greeley CO, 80634-4171. NPI Number Vanessa Wittstruck PA-C has the Individual type.

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1023447679 NPI number is provided on an as is basis without warranty of any kind. 1023447679 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Wittstruck PA-C are for informational purposes only.