Provider Demographics
NPI:1881149722
Name:VINGA, EUPHEMIA (RN)
Entity type:Individual
Prefix:
First Name:EUPHEMIA
Middle Name:
Last Name:VINGA
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 1:2375 WILLOW TREE GRV
Mailing Address - Street 2:APT 201
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-7119
Mailing Address - Country:US
Mailing Address - Phone:281-223-2319
Mailing Address - Fax:
Practice Address - Street 1:2375 WILLOW TREE GRV
Practice Address - Street 2:APT 201
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-7119
Practice Address - Country:US
Practice Address - Phone:281-223-2319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-21
Last Update Date:2016-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1635412163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse