Doctor Name: | CLAUDETTE B WYGAL |
NPI Number: | 1083857072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-049074 |
Business Practice Address: | 505 Burlington St Scottsboro, AL - 357684216 |
Business Phone Number: | 2562594100 |
Business Fax Number: | 2562594104 |
Mailing Address: | 505 Burlington St, SCOTTSBORO |
State: | AL |
Postal Code: | 357684216 |
Phone Number: | 2562594100 |
Fax Number: | 2562594104 |
NPI Enumeration Date: | 04/07/2009 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-049074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |