| NPI | 1245791144 |
|---|---|
| Former Name | MELANIE ANN WIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9163-33) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2022-06-23 |