Becerril, Vanessa K

Becerril, Vanessa K is an individual health care provider with primary practice located at 300 Colorado Ave , Pueblo CO 81004-2006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Becerril, Vanessa K can be contacted via phone (719) 543-8711.

Contact Information

Primary practice address
300 Colorado Ave Pueblo CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-0171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AP2422 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0003708 Colorado

Profile Details

NPI number 1386832608
LBN Legal business name Becerril, Vanessa K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Sep 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386832608 NPPES
Colorado MEDICAID 96734281

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