Alyssa Venckus
Physician Assistant in Englewood, CO. Individual provider (NPI-1).
NPI number1033745971
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1033745971
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Venckus
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2020
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0007885 | CO | Yes |
| 363A00000X | Physician Assistant | 085007776 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Alyssa Fletcher (Former Name)
Practice location
500 E Hampden Ave Ste 400Englewood, CO 80113-2886
Phone 303-789-2663
Mailing address
500 E Hampden AveEnglewood, CO 80113-2795
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All 126 Physician Assistant providers in Englewood · All 3,889 providers in Englewood
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