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:
Health care specialties
Specialty | Code | License # | 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 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154309912 | NPPES |
Colorado | Other | 63638 | STATE LICENSE |
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