Provider Demographics
NPI:1386759520
Name:SICOLA, VIRGINIA RODGERS (RN,AOCN,CS, PHD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:RODGERS
Last Name:SICOLA
Suffix:
Gender:F
Credentials:RN,AOCN,CS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6423 MOOREGATE DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6559
Mailing Address - Country:US
Mailing Address - Phone:806-353-6204
Mailing Address - Fax:
Practice Address - Street 1:6010 W AMARILLO BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1990
Practice Address - Country:US
Practice Address - Phone:806-354-7871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224515364SM0705X, 364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Not Answered364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology