Individual
LYNNE A VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
806 S PONDEROSA ST, PAYSON, AZ 85541-5541
(928) 468-8603
(928) 468-8625
Mailing address
806 S PONDEROSA ST, PAYSON, AZ 85541-5541
(928) 468-8603
(928) 468-8625
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146507
—
AZ
Enumeration date
03/24/2006
Last updated
07/21/2022
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