Individual
MRS. PAMELA MICHELE RITTER WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
175 N LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9351
(352) 473-3199
(352) 473-4199
Mailing address
345 W MADISON ST, STARKE, FL 32091-3923
(904) 964-5455
(904) 964-4099
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1427272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020200100
—
FL
Enumeration date
07/28/2006
Last updated
08/04/2025
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