National Provider Identifier

Eloise Wiggins

Eloise Wiggins is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 354-7322.

NPI 1790187706Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1790187706
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 22, 2014
Last Updated
September 22, 2014

Practice Location

  • 144 Dr Samuel McCree Way
  • Rochester, NY 14608-2305

Phone: (585) 354-7322

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1790187706
Entity Type
Individual
Last Name
Wiggins
First Name
Eloise
Provider Other Last Name
Wiggins
Provider Other First Name
Eloise
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
2
Mailing Street Address
144 Dr Samuel McCree Way
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2305
Mailing Country
US
Mailing Phone
(585) 354-7322
Practice Street Address
144 Dr Samuel McCree Way
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2305
Practice Country
US
Practice Phone
(585) 354-7322
Enumeration Date
September 22, 2014
Last Updated
September 22, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)