Individual
SHERRY K WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
FRESNO AND R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA00Z4950
BLUE SHIELD OF CA
CA
01
—
P00460498
RAILROAD MEDICARE
CA
05
—
RN3280710
—
CA
Enumeration date
10/27/2006
Last updated
04/29/2008
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