Provider Demographics
NPI:1275608846
Name:BROWNRIGG, VICKI JANINE (FNP)
Entity Type:Individual
Prefix:PROF
First Name:VICKI
Middle Name:JANINE
Last Name:BROWNRIGG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 MINNEQUA AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-3719
Mailing Address - Country:US
Mailing Address - Phone:719-561-1425
Mailing Address - Fax:719-262-4416
Practice Address - Street 1:27 E VERMIJO AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2208
Practice Address - Country:US
Practice Address - Phone:719-520-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily