Provider Demographics
NPI:1972941425
Name:WIGGINS, MEGAN (CNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:KOSEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2130 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3818
Mailing Address - Country:US
Mailing Address - Phone:419-291-4590
Mailing Address - Fax:419-291-4593
Practice Address - Street 1:2130 W CENTRAL AVE STE 105
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3819
Practice Address - Country:US
Practice Address - Phone:419-291-4590
Practice Address - Fax:419-291-4593
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.348014363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily