Individual
LISA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
32113 SUNNY LN, BLACK DIAMOND, WA 98010-9215
(253) 508-6773
Mailing address
32113 SUNNY LN, BLACK DIAMOND, WA 98010-9215
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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