Individual provider · Type 1 NPI

Vanessa G. Wittstruck, PA-C

Medical Physician Assistant · Greeley, CO

NPI number 1023447679 Active

Practice location

2429 35th Ave
Greeley, CO 80634-4171

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X15-01650 (KS)
Medical Physician Assistant Primary 363AM0700XPA.0003759 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1023447679

Vanessa G. Wittstruck, PA-C's National Provider Identifier is 1023447679, issued on Nov 4, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greeley, CO. The record was last updated on Mar 29, 2021.