Individual
SALLY AGNOLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(303) 422-9438
(303) 422-9474
Mailing address
PO BOX 2994, EDWARDS, CO 81632-2994
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-510
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17084580
—
CO
Enumeration date
06/26/2006
Last updated
01/19/2012
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