| Tierra Latrice Wiggins, APRN | |
|
5589 Greenwich Rd Ste 100, Virginia Beach, VA 23462-6565 | |
| (888) 628-8272 | |
| Not Available |
| Full Name | Tierra Latrice Wiggins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 5589 Greenwich Rd Ste 100, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619572153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024180432 (Virginia) | Primary |
| 363L00000X | Nurse Practitioner | 0024180432 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Spring Vascular | 2062826316 | 21 |
| Entity Name | Virginia Gastroenterology Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134593494 PECOS PAC ID: 1951604677 Enrollment ID: O20160129000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Tierra Latrice Wiggins, APRN Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Ph: (757) 953-5397 | Tierra Latrice Wiggins, APRN 5589 Greenwich Rd Ste 100, Virginia Beach, VA 23462-6565 Ph: (888) 628-8272 |
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