Individual
VICKI SAGRILLO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 596-4502
(719) 597-2668
Mailing address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 596-4502
(719) 597-2668
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
63638
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63638
STATE LICENSE
CO
Enumeration date
01/03/2006
Last updated
07/08/2007
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