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Individual

JUDITH KAY WIGHTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
333 WASHINGTON AVE N, SUITE 5000, MINNEAPOLIS, MN 55401-1377
(612) 767-1911
(612) 659-7101
Mailing address
333 WASHINGTON AVE N, SUITE 5000, MINNEAPOLIS, MN 55401-1377
(612) 767-1911
(612) 659-7101

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1225222
FL
363LF0000X
Family Nurse Practitioner
R 172737-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP1225222
MEDICAL LICENSE
FL
Enumeration date
07/20/2005
Last updated
01/28/2009
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