Individual provider · Type 1 NPI
Victoria Wiggan, LPN
Pediatric Skilled Nursing Facility · Glen Cove, NY
NPI number
1801018213
Active
Practice location
56 Viola Dr
Glen Cove, NY 11542-3326
Mailing address
11542 219th St
Cambria Heights, NY 11411-1162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 02380225 (NY) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1801018213
Victoria Wiggan, LPN's National Provider Identifier is 1801018213, issued on May 3, 2007. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Glen Cove, NY. The record was last updated on Jul 8, 2007.