Provider Demographics
NPI:1033318258
Name:VIGIL, ALEXENDER (RN)
Entity Type:Individual
Prefix:
First Name:ALEXENDER
Middle Name:
Last Name:VIGIL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 W HAMPDEN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2165
Mailing Address - Country:US
Mailing Address - Phone:303-584-8220
Mailing Address - Fax:866-891-4953
Practice Address - Street 1:10450 PARK MEADOWS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5529
Practice Address - Country:US
Practice Address - Phone:303-708-9911
Practice Address - Fax:303-708-9992
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO129476163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical