Individual
MRS. GLORIA DEAN WIGGINS-AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,APRN,FNP-C
Contact information
Practice address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(405) 459-7016
Mailing address
10817 W 76TH ST, SHAWNEE, KS 66214-2933
(913) 558-8712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75517
KS
Other
Enumeration date
10/15/2014
Last updated
08/22/2023
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