Healthcare Provider Details

I. General information

NPI: 1750560363
Provider Name (Legal Business Name): RYGIELS RENAISSANCE IN WOMENS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 NORTH UNION BLVD SUITE 175
COLORADO SPRINGS CO
80920
US

IV. Provider business mailing address

8890 NORTH UNION BLVD SUITE 175
COLORADO SPRINGS CO
80920
US

V. Phone/Fax

Practice location:
  • Phone: 719-282-4066
  • Fax: 719-282-4067
Mailing address:
  • Phone: 719-282-4066
  • Fax: 719-282-4067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number41422
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number37301
License Number StateCO

VIII. Authorized Official

Name: MRS. VICKI RYGIEL
Title or Position: PRACTICE MANAGER
Credential: PRACTICE MANAGER
Phone: 719-282-4066