Wittstruck, Vanessa G

Wittstruck, Vanessa G is an individual health care provider with primary practice located at 2429 35Th Ave , Greeley CO 80634-4171. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wittstruck, Vanessa G can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2429 35Th Ave Greeley CO 80634-4171
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01650 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0003759 Colorado

Profile Details

NPI number 1023447679
LBN Legal business name Wittstruck, Vanessa G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Mar 29th, 2021 - about 4 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 1023447679 NPPES
Colorado Other 025837 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 16985001 KAISER COMMERCIAL NUMBER

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