Individual
MRS. ASHLEY WEAVER WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
5955 AIRPORT BLVD, MOBILE, AL 36608
(251) 633-0573
(251) 633-7367
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-121798
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-121798
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I509402
MEDICARE
AL
05
—
200008788
—
MS
05
—
215614
—
AL
05
—
216033
—
AL
01
—
3800059
UHC
AL
01
—
4986031
AETNA
AL
01
—
511-42792
BCBS
AL
01
—
511-42793
BCBS OF AL
AL
01
—
512-05762
BCBS OF AL
AL
01
—
P01309534
RR MEDICARE
AL
01
—
Z99922
VIVA HEALTH
AL
Enumeration date
12/17/2013
Last updated
02/23/2024
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