Individual
LUCIANNE H WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 PROFESSIONAL LN, ENTERPRISE, AL 36330-2085
(334) 347-3404
(334) 393-0613
Mailing address
101 PROFESSIONAL LN, ENTERPRISE, AL 36330-2085
(334) 347-3404
(334) 393-0613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-099441
AL
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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