Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 36997 | SC |
Y | 2080P0207X | Pediatric Hematology-Oncologist | DR.0067199 | CO |
NPI | 1225441652 |
---|---|
Provider Name | Dr. Vanessa Ann Fabrizio |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 08/09/2021 |