Waller, Angelina Kelly Viscardi

Waller, Angelina Kelly Viscardi is an individual health care provider with primary practice located at 11960 Lioness Way Ste 260 , Parker CO 80134. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Waller, Angelina Kelly Viscardi can be contacted via phone (303) 344-9090.

Contact Information

Primary practice address
11960 Lioness Way Ste 260 Parker CO 80134
Phone: (303) 344-9090
Fax: (720) 895-1121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2178 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2178 Colorado

Profile Details

NPI number 1417061821
LBN Legal business name Waller, Angelina Kelly Viscardi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jun 6th, 2018 - about 6 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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