Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE T. WIGGAM, RN
ActiveWALLACE T. WIGGAM, RN is a Nurse Anesthetist, Certified healthcare provider located in SANTA ROSA, California. NPI 1932739141 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · SANTA ROSA, CA
Registration Details
- NPI Number
- 1932739141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2020 (6.6156467902764 yrs)
- Last Updated
- Jan 16, 2020
- License
-
307469 (CA)
Practice Information
- Address
-
2403 PROFESSIONAL DR # CASANTA ROSA, CA, 954033007Browse CA providers · Browse ZIP 95403
- Phone
- 7075443295
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Other Nurse Anesthetist, Certified Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL E PETERS | — | 1962796292 |
| MS. LEANA JORDAN | RN773622 | 1912277450 |
| MRS. TEMA HLYNN PACHECO | RN | 1568899532 |
| MONIQUE LYNNE GARVANIAN | RN | 1891450094 |
| SARA KATHLEEN GLASHAN | RN | 1922855907 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.