Basic Information
| Provider Information | |||||||||
| NPI: | 1033318258 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VIGIL | ||||||||
| FirstName: | ALEXENDER | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 750 W HAMPDEN AVE | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801102165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035848220 | ||||||||
| FaxNumber: | 8668914953 | ||||||||
| Practice Location | |||||||||
| Address1: | 10450 PARK MEADOWS DR | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801245529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037089911 | ||||||||
| FaxNumber: | 3037089992 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2007 | ||||||||
| LastUpdateDate: | 07/17/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WM0705X | 129476 | CO | Y | Nursing Service Providers | Registered Nurse | Medical-Surgical |
No ID Information.