RITA WIGGINS BRANCH (NPI# 1104423235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104423235 |
Entity Type | Individual |
Full Name | RITA WIGGINS BRANCH |
Credential | FNP |
Practice Address |
12350 Flint Dr Moundville AL 35474-6246 |
Mailing Address |
Po Box 637 Moundville AL 35474-0637 |
Practice Telephone | 3345072633 |
Mailing Telephone | 3345072633 |
Enumeration Date | 2020-10-01 |
Last Update Date | 2020-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-105375 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12350 FLINT DR |
City | MOUNDVILLE |
State | AL |
Zip Code | 35474-6246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730655846 | Restore Therapy Services, Ltd. | Physical Therapist | 40890 Alabama Highway 69, Moundville, AL 35474 | 2018-10-16 |
1285046110 | Andrea Brown Stringfellow | Nurse Practitioner | 16063 Alabama Highway 69, Moundville, AL 35474 | 2014-05-27 |
1700211745 | Encore Rehabilitation, Inc. | Clinic/Center | 50 Wildcat Way, Moundville, AL 35474 | 2013-09-10 |
1013032648 | Moundville Medical Plaza Inc. | Pharmacist | 16061 Hwy 69 South, Moundville, AL 35474 | 2007-03-20 |
1831139898 | Moundville Health and Rehabilitation, LLC | Skilled Nursing Facility | 121 Union St, Moundville, AL 35474 | 2006-06-07 |
1760472674 | Heather Phillips Whitley | Pharmacist | 16063 Hwy 69 South, Moundville Medical Center, Moundville, AL 35474 | 2005-10-24 |
1093125874 | Rachel Phillips | Occupational Therapist | 306 Washington St, Livingston, AL 35474 | 2014-05-02 |
1427482389 | Francis J Woods Iv | Physical Therapist | 121 Union St, Moundsville, AL 35474 | 2013-08-28 |
1649458605 | Dr Larry O Skelton Md PC | Nurse Practitioner | 16063 Hwy 69 South, Moundville, AL 35474 | 2008-02-01 |
1942382908 | Clifford Allen Harland Jr. | Pharmacist | 16061 Hwy 69 S Moundville Medical Plaza, Moundville, AL 35474-0551 | 2006-10-19 |
Find all providers in zip 35474 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
1306452545 | Richard Keith Fell | Nurse Practitioner | 2785 Carl T Jones Dr Se Ste C, Huntsville, AL 35802-4947 | 2020-09-22 |
Find all providers with the same taxonomy |
City | MOUNDVILLE |
Zip Code | 35474 |
Please comment or provide details below to improve the information on RITA WIGGINS BRANCH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.