Provider Demographics
NPI:1205163680
Name:RIGGS, LISA ANN (APRN, CNP)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ANN
Last Name:RIGGS
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 E HOWARD ST STE 104
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-1714
Mailing Address - Country:US
Mailing Address - Phone:218-440-1808
Mailing Address - Fax:218-249-0768
Practice Address - Street 1:522 E HOWARD ST STE 104
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-1714
Practice Address - Country:US
Practice Address - Phone:218-440-1808
Practice Address - Fax:218-249-0768
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR219103-0363LP0808X
MNCNP0535363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health