Wiggins, Wennifer D.
Wiggins, Wennifer D. is an individual health care provider with primary practice located at 5500 Knoll North Dr Ste 370 , Columbia MD 21045-2393. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiggins, Wennifer D. can be contacted via phone (410) 837-2050.Contact Information
Primary practice address
5500 Knoll North Dr Ste 370
Columbia MD 21045-2393
Phone: (410) 837-2050
Fax: (866) 629-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN1006636 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R128496 | Maryland |
Profile Details
| NPI number | 1295814499 |
|---|---|
| LBN Legal business name | Wiggins, Wennifer D. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Apr 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295814499 | NPPES |
| District of Columbia | MEDICAID | 037337200 | |
| District of Columbia | MEDICAID | 412982201 |
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