Wigen, Sandra

Wigen, Sandra is an individual health care provider with primary practice located at 6075 E Broad St , Columbus OH 43213-1549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wigen, Sandra can be contacted via phone (614) 434-2400.

Contact Information

Primary practice address
6075 E Broad St Columbus OH 43213-1549
Phone: (614) 434-2400
Fax: (614) 434-2499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP01913 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN200521 Ohio

Profile Details

NPI number 1043210990
LBN Legal business name Wigen, Sandra
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043210990 NPPES
Ohio MEDICAID 2077603

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