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Individual

HEATHER WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 UNIVERSITY BLVD, LA GRANDE, OR 97850-2807
(541) 962-3825
Mailing address
1 UNIVERSITY BLVD, LA GRANDE, OR 97850-2807

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201609981NP-PP
OR
363LF0000X
Family Nurse Practitioner
20593.1386
WY

Other

Enumeration date
04/22/2015
Last updated
10/09/2018
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