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MRS. DEANNA MICHELLE WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
330 BEN FORD RD, UTICA, KY 42376-9726
(270) 993-7226

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3016686
KY

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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