Individual
ANGELA M WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
1500 E DOWNING ST STE 214, TAHLEQUAH, OK 74464
(918) 413-0202
(918) 413-0203
Mailing address
1717 S UTICA AVE, STE A, TULSA, OK 74104-5346
(918) 772-3390
(918) 868-2944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0075741
OK
Other
Enumeration date
04/09/2018
Last updated
04/20/2020
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