Healthcare Provider Details

I. General information

NPI: 1447120456
Provider Name (Legal Business Name): VANESSA MARIE WAY
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: VANESSA NUNES

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E 29TH ST STE 101
LOVELAND CO
80538-2746
US

IV. Provider business mailing address

4856 INNOVATION DR
FORT COLLINS CO
80525-5539
US

V. Phone/Fax

Practice location:
  • Phone: 970-494-4200
  • Fax:
Mailing address:
  • Phone: 970-494-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: