Provider Demographics
NPI:1982177804
Name:VECCHIO, ANGELA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:VECCHIO
Suffix:
Gender:F
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:SELLS INDIAN HOSPITAL
Mailing Address - Street 2:ARIZONA STATE ROUTE 86
Mailing Address - City:SELLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85634
Mailing Address - Country:US
Mailing Address - Phone:520-383-7221
Mailing Address - Fax:520-383-7286
Practice Address - Street 1:SELLS INDIAN HOSPITAL - IN PATIENT WARD
Practice Address - Street 2:ARIZONA STATE ROUTE 86
Practice Address - City:SELLS
Practice Address - State:AZ
Practice Address - Zip Code:85634
Practice Address - Country:US
Practice Address - Phone:520-383-7221
Practice Address - Fax:520-383-7286
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH423051163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse