Sagrillo, Vicki

Sagrillo, Vicki is an individual health care provider with primary practice located at 6190 Barnes Rd , Colorado Springs CO 80922-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Sagrillo, Vicki can be contacted via phone (719) 596-4502.

Contact Information

Primary practice address
6190 Barnes Rd Colorado Springs CO 80922-2600
Phone: (719) 596-4502
Fax: (719) 597-2668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 63638 Colorado

Profile Details

NPI number 1154309912
LBN Legal business name Sagrillo, Vicki
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154309912 NPPES
Colorado Other 63638 STATE LICENSE

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