Individual
CRYSTAL ROSE VANCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 357-2048
(719) 575-8983
Mailing address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 357-2048
(719) 575-8983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191982
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191982
RN
CO
Enumeration date
11/18/2009
Last updated
11/18/2009
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