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
Primary
RN2263101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938258
—
AZ
Enumeration date
03/29/2010
Last updated
02/08/2017
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