IndividualActive
Aglendria Wiggins
NPI 1063224731 · Licensed Practical Nurse · Bolling Afb, DC
Provider details
- NPI number
- 1063224731
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPN200002942 (DC)
Specialties & taxonomies
Nursing Service Providers
Practice location
3150 Kelly St Sw
Bolling Afb, DC 20032-7465
Phone: (813) 720-5349
Approximate (ZIP-level) locationGet directions
Mailing address
3150 Kelly St Sw
Bolling Afb, DC 20032-7465
Registry dates
- Enumerated
- 2025-01-21
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.