Ashley Crystal Wiggins, CNP
Nurse Practitioner, Family in Albuquerque, NM. Individual provider (NPI-1).
NPI number1841978806
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1841978806
- Entity type
- Individual (NPI-1)
- Name
- Ashley Crystal Wiggins
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 74610 | NM | Yes |
Practice location
4588 Paradise Blvd NwAlbuquerque, NM 87114-4105
Phone 505-998-1717 · Fax 505-998-1710
Mailing address
Po Box 26666Phs Provider Enrollment
Albuquerque, NM 87125-6666
Phone 505-923-6770
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