Individual
SANDRA WIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6075 E BROAD ST, COLUMBUS, OH 43213-1549
(614) 434-2400
(614) 434-2499
Mailing address
1125 YARD ST, STE 200, GRANDVIEW HEIGHTS, OH 43212-3930
(614) 434-2400
(614) 434-2499
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NP01913
OH
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN200521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077603
—
OH
Enumeration date
07/21/2005
Last updated
08/12/2019
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