Individual
MR. NATHAN DAVID RIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
1340 CHARLES ST STE 100, ROCKFORD, IL 61104-2200
(779) 696-1900
Mailing address
950 AURA CIR, ROCKFORD, IL 61108-2676
(815) 703-0887
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.028556
IL
Other
Enumeration date
10/11/2023
Last updated
11/08/2023
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