Individual
CARRIE S WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
109 RAILROAD AVE, WAKEFIELD, VA 23888-0097
(757) 899-3521
(757) 510-9326
Mailing address
109 RAILROAD AVE, WAKEFIELD, VA 23888-0097
(757) 899-3521
(757) 510-9326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024049180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010205514
—
VA
Enumeration date
07/19/2006
Last updated
12/20/2013
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