Provider Demographics
NPI:1952704579
Name:WIGGINS, QUYEN (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:QUYEN
Middle Name:
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:DR
Other - First Name:QUYEN
Other - Middle Name:
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5051 DUCK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1440
Mailing Address - Country:US
Mailing Address - Phone:513-527-7300
Mailing Address - Fax:513-271-0340
Practice Address - Street 1:5051 DUCK CREEK RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1440
Practice Address - Country:US
Practice Address - Phone:513-527-7300
Practice Address - Fax:513-271-0340
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-28
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.16618-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily