Individual provider · Type 1 NPI
Shemile Joyce Mata Wiggin
Family Nurse Practitioner · Bowie, MD
NPI number
1538515754
Active
Practice location
12115 Quick Fox Ln
Bowie, MD 20720-4322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R189883 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1538515754
Shemile Joyce Mata Wiggin's National Provider Identifier is 1538515754, issued on May 6, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bowie, MD. The record was last updated on May 6, 2016.