Healthcare Provider Details

I. General information

NPI: 1780152330
Provider Name (Legal Business Name): RACHAEL ALYSSA RIGGINS MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660A S MAIN ST
MADISON WV
25130-1245
US

IV. Provider business mailing address

701 MADISON AVE
MADISON WV
25130-1699
US

V. Phone/Fax

Practice location:
  • Phone: 304-369-4250
  • Fax:
Mailing address:
  • Phone: 304-369-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number83448
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: