Individual provider · Type 1 NPI

Leah Wigent

Gerontology Nurse Practitioner · Newaygo, MI

NPI number 1154035046 Active

Practice location

211 W Pine Lake Dr
Newaygo, MI 49337-8029

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704383523 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1154035046

Leah Wigent's National Provider Identifier is 1154035046, issued on Jan 6, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Newaygo, MI. The record was last updated on Nov 10, 2025.