Healthcare Provider Details

I. General information

NPI: 1609839679
Provider Name (Legal Business Name): VALERIE U WIGGINS APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE W BROWN APRN,BC

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 12/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 LOOP RD TUSCALOOSA VA MEDICAL CENTER
TUSCALOOSA AL
35404-5015
US

IV. Provider business mailing address

3701 LOOP RD TUSCALOOSA VA MEDICAL CENTER
TUSCALOOSA AL
35404-5015
US

V. Phone/Fax

Practice location:
  • Phone: 205-554-2822
  • Fax:
Mailing address:
  • Phone: 205-554-2822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number1-038166
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-038166
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: