Provider Demographics
NPI:1750717906
Name:RIGGS, LOUISE ANN (LPN)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:ANN
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 HONEY MOOERS DR
Mailing Address - Street 2:
Mailing Address - City:CHAZY
Mailing Address - State:NY
Mailing Address - Zip Code:12921-9777
Mailing Address - Country:US
Mailing Address - Phone:518-578-3219
Mailing Address - Fax:
Practice Address - Street 1:34 HONEY MOOERS DR
Practice Address - Street 2:
Practice Address - City:CHAZY
Practice Address - State:NY
Practice Address - Zip Code:12921-9777
Practice Address - Country:US
Practice Address - Phone:518-578-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253967-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse