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IVAN VIGOA
NPI 1104514827
Student in an Organized Health Care Education/Training Program in Flagstaff, AZ

Active since May 01, 2023
2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9400 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivan Vigoa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN VIGOA (NPI 1104514827) is an individual student in an organized health care education/training program in Flagstaff, Arizona and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1104514827
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIVAN VIGOA
Location Address2920 N 4TH STFlagstaff, AZ 86004-1816
Mailing Address7520 Omni Ln Apt 301Fort Myers, FL 33905-5477 · (813) 400-6742
Phone(928) 522-9400
Sole ProprietorYes
Enumeration DateMay 1, 2023
NPPES CertifiedApril 30, 2023
✔ NPI 1104514827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2920 N 4TH ST, Flagstaff, AZ 86004
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUNYA COPE LPC
Counselor (Professional)
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
CHLOE STRIKE RDH
Dental Hygienist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
KARIS HINAE JO YUN CHOY
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
DR. JORDAN MICHAEL HAHN PHARMD
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
DR. JOHN PAUL GRAZIANO M.D.
Obstetrics & Gynecology
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
KATRINA MIKITIK RN
Registered Nurse
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 864-9374
EMILY H NIETO DMD, MPH
Dentist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9405
KATRINA BURLEIGH WILSON DO
Obstetrics & Gynecology
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Vigoa's NPI number?

The NPI number for Ivan Vigoa is 1104514827. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Ivan Vigoa located?

Ivan Vigoa practices at 2920 N 4th St, Flagstaff, AZ 86004. The listed phone number is (928) 522-9400.

What is Ivan Vigoa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ivan Vigoa was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.