Individual
ASHLEY WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L46112
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197886795
—
AR
Enumeration date
07/16/2013
Last updated
08/28/2013
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