NPI 1700393766

Stacy Jaque Vigil

Practitioner Licensed Practical Nurse Las Vegas, NM

Practice location

Address: 213 Chico Dr, Las Vegas, NM 87701-9511
Phone: (505) 429-5508
Mailing address: 1264 Rodeo Rd, Santa Fe, NM 87505-6816

Registered specialties (4)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN-22383 (NM)

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Licensed Vocational Nurse

Nursing Service Providers Taxonomy 164X00000X Licence LPN-22383 (NM)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1700393766
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2017
Record last updated: 6 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.