Individual
PAMELA J WIGENT
Active
Individual
PAMELA J WIGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
420204
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F420204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02508152
—
NY
01
—
NP0147
PREFERRED CARE
NY
01
—
P019420204
BLUE CHOICE
NY
Enumeration date
06/29/2006
Last updated
07/03/2023
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