Individual
WENNIFER D. WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045-2393
(410) 837-2050
(866) 629-0091
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(866) 629-0091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R128496
MD
363LF0000X
Family Nurse Practitioner
RN1006636
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037337200
—
DC
05
—
412982201
—
MD
Enumeration date
11/06/2006
Last updated
04/25/2019
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