Doctor Name: | SARAH EMILY WIGNALL |
NPI Number: | 1336594092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP, FNP-BC |
License Number: | 1-154250 |
Business Practice Address: | 20 Hazelwood Dr Pell City, AL - 351253382 |
Business Phone Number: | 2053388008 |
Business Fax Number: | |
Mailing Address: | 2418 Altaridge Cir, VESTAVIA |
State: | AL |
Postal Code: | 352434526 |
Phone Number: | 2058730454 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2016 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-154250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |