Provider Demographics
NPI:1841567690
Name:VIGIL, BELEN RODRIGUEZ (CNP, RN)
Entity Type:Individual
Prefix:
First Name:BELEN
Middle Name:RODRIGUEZ
Last Name:VIGIL
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Gender:F
Credentials:CNP, RN
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Mailing Address - Street 1:530 DEMOSS STREET
Mailing Address - Street 2:
Mailing Address - City:LORDSBURG
Mailing Address - State:NM
Mailing Address - Zip Code:88045-2618
Mailing Address - Country:US
Mailing Address - Phone:575-542-8384
Mailing Address - Fax:575-542-8367
Practice Address - Street 1:3200 SILVER ST.
Practice Address - Street 2:HMS SILVER HIGH SCHOOL WELLNESS CENTER
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-7283
Practice Address - Country:US
Practice Address - Phone:575-534-1015
Practice Address - Fax:575-542-8367
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2012-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMR37864163WG0000X
NMCNP-01882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice