Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | DR.0054226 | CO |
NPI | 1003106873 |
---|---|
Provider Name | Emily Jeanne Vangeti |
First Address | Highlands Ranch, CO 80129-2251 |
Second Address | Lone Tree, CO 80124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2011 |
Last Update Date | 15/09/2021 |