Provider Demographics
NPI:1619395233
Name:ZWEGERS, VANESSA ELIZABETH (NP-C)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:ELIZABETH
Last Name:ZWEGERS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-2290
Mailing Address - Country:US
Mailing Address - Phone:719-589-3658
Mailing Address - Fax:
Practice Address - Street 1:925 2ND AVE
Practice Address - Street 2:
Practice Address - City:MONTE VISTA
Practice Address - State:CO
Practice Address - Zip Code:81144-1432
Practice Address - Country:US
Practice Address - Phone:719-582-2512
Practice Address - Fax:719-852-3923
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02334363LF0000X
COAPN.0990957-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO25908511Medicaid