Individual
MRS. REBECCA ANNE VIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG0713055
ND
363LA2200X
Adult Health Nurse Practitioner
Primary
R32228
ND
363LG0600X
Gerontology Nurse Practitioner
R1863424
MN
Other
Enumeration date
09/16/2013
Last updated
10/30/2015
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