Stacy Jaque Vigil
Stacy Jaque Vigil is a Licensed Vocational Nurse in Las Vegas, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2017
- Specialties on file
- 4
Practice location Address checks out
213 Chico DrLas Vegas, NM 87701-9511
Phone: (505) 429-5508
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence LPN-22383 (NM) |
|---|---|
| Licensed Vocational Nurse | Taxonomy 164X00000X · Licence LPN-22383 (NM) |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Nurse's Aide | Taxonomy 376K00000X |
Record details
| NPI number | 1700393766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2017 |
| Last updated in NPPES | April 6, 2020 |
| Certification date | April 6, 2020 |
| Mailing address | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 |