SANDRA WIGEN CNP NPI 1043210990

NPI Information

NPI: 1043210990
Provider Name: SANDRA WIGEN, CNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: COLUMBUS OBSTETRICIANS - GYNECOLOGISTS, INC.

PECOS Registration: Yes

Address:
6075 E BROAD ST
COLUMBUS, OH
ZIP 43213
Phone: (614) 434-2400
Get Directions

Sandra Wigen, CNP is an obstetrics and gynecology nurse practitioner in Columbus, OH with 29 years of experience. Sandra Wigen, CNP NPI is 1043210990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6075 E BROAD ST
COLUMBUS, OH
ZIP 43213-549
Phone: (614) 434-2400
Fax: (614) 434-2499

The NPI 1043210990 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 8/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NP01913	OHIO	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	RN200521	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2077603	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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