Individual
DR. AMANDA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 SECURITY BLVD STE 200, BALTIMORE, MD 21244-2412
(410) 837-2050
Mailing address
8127 CLYDE BANK RD, TOWSON, MD 21286-8805
(410) 504-2673
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R231591
MD
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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