Individual
ADRIENNE LEE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6407 OLD HARBOR LN, AUSTIN, TX 78739-1405
(512) 917-4920
Mailing address
6407 OLD HARBOR LN, AUSTIN, TX 78739-1405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
944875
TX
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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