Individual
MARIA LOCKRIDGE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-022486
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-022486
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051266
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)
AL
Enumeration date
06/24/2006
Last updated
01/06/2011
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