Provider Demographics
NPI:1013644939
Name:AGUILERA, VEDA OFELIA (RN)
Entity Type:Individual
Prefix:
First Name:VEDA
Middle Name:OFELIA
Last Name:AGUILERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6972 S CAMINO SECRETO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746-7906
Mailing Address - Country:US
Mailing Address - Phone:520-241-0955
Mailing Address - Fax:
Practice Address - Street 1:SELLS INDIAN HOSPITAL
Practice Address - Street 2:AZ 86
Practice Address - City:SELLS
Practice Address - State:AZ
Practice Address - Zip Code:85634
Practice Address - Country:US
Practice Address - Phone:520-283-7251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN200483163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical