Individual
SARA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014012667
MO
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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