National Provider Identifier

Odetta Wiggins, LPN

Odetta Wiggins, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 727-1858.

NPI 1932316635Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1932316635
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 16, 2007
Last Updated
July 08, 2007

Practice Location

  • 10 Eagle St
  • Rochester, NY 14608-2230

Phone: (585) 727-1858

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1932316635
Entity Type
Individual
Last Name
Wiggins
First Name
Odetta
Credential
LPN
Mailing Street Address
10 Eagle St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2230
Mailing Country
US
Mailing Phone
(585) 727-1858
Practice Street Address
10 Eagle St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2230
Practice Country
US
Practice Phone
(585) 727-1858
Enumeration Date
May 16, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)