MRS. MARSHALL ROMONA WIGFALL DNP FNP PMH-NP/CNS NPI 1629306139

NPI Information

NPI: 1629306139
Provider Name: MRS. MARSHALL ROMONA WIGFALL, DNP, FNP, PMH-NP/CNS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1700 HUGUENOT RD STE E
MIDLOTHIAN, VA
ZIP 23113
Phone: (804) 594-6837
Get Directions

MRS. Marshall Romona Wigfall, DNP, FNP, PMH-NP/CNS is a psychiatric/mental health nurse practitioner in Midlothian, VA with 15 years of experience. MRS. Marshall Romona Wigfall, DNP, FNP, PMH-NP/CNS NPI is 1629306139. 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:

1700 HUGUENOT RD STE E
MIDLOTHIAN, VA
ZIP 23113-397
Phone: (804) 594-6837
Fax: (804) 621-2248

The NPI 1629306139 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 11/20/2009 and was last updated on 4/20/2022.

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	163W00000X	Registered Nurse		0001190712	VIRGINIA	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	0015000882	VIRGINIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024168559	VIRGINIA	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	1629306139	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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