Doctor Name: | ANGELICA BADILLO |
NPI Number: | 1407195696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN170757 |
Business Practice Address: | 1374 W Frontage Rd Rio Rico, AZ - 856486377 |
Business Phone Number: | 5203758600 |
Business Fax Number: | 5203758690 |
Mailing Address: | 208 Paseo Tamex, RIO RICO |
State: | AZ |
Postal Code: | 856481041 |
Phone Number: | 5208600262 |
Fax Number: | 5203758690 |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN170757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |