Individual
MRS. ANITA SUE WIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
8710 MANCHESTER RD, SAINT LOUIS, MO 63144-2724
(314) 961-3570
(314) 961-6450
Mailing address
8710 MANCHESTER RD, SAINT LOUIS, MO 63144-2724
(314) 961-3570
(314) 961-6450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015007609
MO
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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