IndividualActive
Amanda Wiggins
NPI 1114744943 · Adult Health Nurse Practitioner · Baltimore, MD
Provider details
- NPI number
- 1114744943
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R231591 (MD)
Practice location
6901 Security Blvd Ste 200
Baltimore, MD 21244-2412
Phone: (410) 837-2050
Mailing address
8127 Clyde Bank Rd
Towson, MD 21286-8805
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2024-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.