Wiginton-Mccormick, Lara Kathleen

Wiginton-Mccormick, Lara Kathleen is an individual health care provider with primary practice located at 1025 Pennock Pl , Fort Collins CO 80524-3257. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Wiginton-Mccormick, Lara Kathleen can be contacted via phone (970) 495-8800.

Contact Information

Primary practice address
1025 Pennock Pl Fort Collins CO 80524-3257
Phone: (970) 495-8800
Fax: (970) 495-8820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 990222 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 190225 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN.0006038-CNM Colorado

Profile Details

NPI number 1558512558
LBN Legal business name Wiginton-Mccormick, Lara Kathleen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Mar 22nd, 2016 - about 10 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 1558512558 NPPES
Colorado MEDICAID 40925722

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