Individual
SHAREE ANN WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 RAINBOW BLVD, MS 4017, KANSAS CITY, KS 66160-0001
(913) 588-1944
(913) 588-2496
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-1944
(913) 588-2496
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1338181022
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
1338181022
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100336590A
—
KS
Enumeration date
08/25/2006
Last updated
07/17/2014
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