Individual
THOMAS WIGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, NASHVILLE, TN 37203-1448
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34274
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103971
BCBS
TN
05
—
3603921
—
TN
05
—
74342742
—
KY
Enumeration date
01/12/2006
Last updated
08/11/2010
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