Provider Demographics
NPI:1982893491
Name:WIGGINS, KRISTI LEANE (MSN, ANP, APRN-BC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEANE
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:MSN, ANP, APRN-BC
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:LEANE
Other - Last Name:GOFORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 MEDICINE CIRCLE DUKE CANCER INSTITUTE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-660-2160
Mailing Address - Fax:919-684-4221
Practice Address - Street 1:20 MEDICINE CIRCLE DUKE CANCER INSTITUTE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-660-2160
Practice Address - Fax:919-684-4221
Is Sole Proprietor?:No
Enumeration Date:2007-10-21
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-03370363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner