Provider Demographics
NPI:1942477724
Name:WIGGINS, NATALIE JOELLE (NMD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JOELLE
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CORDOVA ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3717
Mailing Address - Country:US
Mailing Address - Phone:907-929-2222
Mailing Address - Fax:907-929-2225
Practice Address - Street 1:800 CORDOVA ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3717
Practice Address - Country:US
Practice Address - Phone:907-929-2222
Practice Address - Fax:907-929-2225
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNATN67175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath