Provider Demographics
NPI:1407145410
Name:RIGGEN, AUNDRIA CHRISTINE (PA)
Entity Type:Individual
Prefix:
First Name:AUNDRIA
Middle Name:CHRISTINE
Last Name:RIGGEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:AUNDRIA
Other - Middle Name:CHRISTINE
Other - Last Name:GOHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:PO BOX 1309 MAIL STOP 21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 E 1ST ST
Practice Address - Street 2:STE. 305
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2297
Practice Address - Country:US
Practice Address - Phone:218-249-6360
Practice Address - Fax:218-249-6370
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant