Individual
ASHLEIGH WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP-BC
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
4208 BURRLAND RD, PORTSMOUTH, VA 23703-1910
(757) 660-4461
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001243087
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0001243087
VA
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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