Individual
SUSAN WIGETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
77 CALLE PORTAL STE B260, SIERRA VISTA, AZ 85635-2982
(520) 226-4338
Mailing address
77 CALLE PORTAL STE B260, SIERRA VISTA, AZ 85635-2982
(520) 226-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
203923
ND
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2263101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938258
—
AZ
Enumeration date
03/29/2010
Last updated
06/23/2026
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