Provider Demographics
NPI:1376017491
Name:SIPIRIANO, ALEXIO (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ALEXIO
Middle Name:
Last Name:SIPIRIANO
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3886 EAGLE TAIL LN
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7925
Mailing Address - Country:US
Mailing Address - Phone:303-217-6684
Mailing Address - Fax:
Practice Address - Street 1:3886 EAGLE TAIL LN
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7925
Practice Address - Country:US
Practice Address - Phone:303-217-6684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO189249163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health