Individual
ROBERTA L. WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N29293
ID
163W00000X
Registered Nurse
RN00056994
WA
363L00000X
Nurse Practitioner
NP472A
ID
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30001972
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150139
DEPT. OF L & I
WA
05
—
9625674
—
WA
Enumeration date
06/14/2006
Last updated
03/07/2023
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