MRS. Angelina Kelly Viscardi Waller, PA-C is a medical physician assistant in Parker, CO with 19 years of experience. MRS. Angelina Kelly Viscardi Waller, PA-C NPI is 1417061821. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11960 LIONESS WAY STE 260
PARKER, CO
ZIP 80134
Phone: (303) 344-9090
Fax: (720) 895-1121
The NPI 1417061821 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/19/2006 and was last updated on 6/6/2018.