Individual
JEFFREY T WIGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8 PROSPECT ST, NASHUA, NH 03060-3925
(603) 577-2000
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3115
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
066593-23
NH
367500000X
Certified Registered Nurse Anesthetist
RN563377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079387
AANA
PA
Enumeration date
12/20/2007
Last updated
08/29/2016
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