Healthcare Provider Details

I. General information

NPI: 1003739608
Provider Name (Legal Business Name): CHRISTINA KAYE VIGIL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9414 CLAREMONT AVE NE
ALBUQUERQUE NM
87112-1340
US

IV. Provider business mailing address

9414 CLAREMONT AVE NE
ALBUQUERQUE NM
87112-1340
US

V. Phone/Fax

Practice location:
  • Phone: 505-307-2035
  • Fax:
Mailing address:
  • Phone: 505-307-2035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberR49820
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: