Provider Demographics
NPI:1669039152
Name:BIGHAM, NADINE REBECCA (FNP-C)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:REBECCA
Last Name:BIGHAM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NADINE
Other - Middle Name:
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3727 FRIENDSVILLE RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7127
Mailing Address - Country:US
Mailing Address - Phone:330-202-3434
Mailing Address - Fax:330-202-3435
Practice Address - Street 1:3727 FRIENDSVILLE RD UNIT 2
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-7127
Practice Address - Country:US
Practice Address - Phone:330-202-3434
Practice Address - Fax:330-202-3435
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024409363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily