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NPI Code Detail

MEDICARE: ANGEL WIGGINS NP

MEDICARE: ANGEL WIGGINS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024178272VA

General Provider Information

NPI Number : 1851941918
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL WIGGINS NP
Provider Business Mailing Address
First Line : 1010 N THOMPSON ST
Second Line :
City : RICHMOND
State : VA
Zip : 23230-4924
Country : US
Telephone Number : 804-358-6343
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N THOMPSON ST
Second Line :
City : RICHMOND
State : VA
Zip : 23230-4924
Country : US
Telephone Number : 804-358-6343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2019
Last Update Date : 09/19/2019

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