Provider Demographics
NPI:1437884913
Name:WIGGIN, DANIELLE MICHELINA (ACNPC-AG)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MICHELINA
Last Name:WIGGIN
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MICHELINA
Other - Last Name:ESPOSITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:99 CAMPUS AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-6045
Mailing Address - Country:US
Mailing Address - Phone:207-777-5300
Mailing Address - Fax:207-777-1276
Practice Address - Street 1:99 CAMPUS AVE STE 301
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6045
Practice Address - Country:US
Practice Address - Phone:207-777-5300
Practice Address - Fax:207-777-1276
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP221169163WR0006X, 363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology