Individual ProviderHaley WigginsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address449 W 23rd St, Panama City, FL 32405(334) 701-5782PECOS EnrollmentBased on the most recent information from CMS, provider Haley Wiggins is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1043623275Provider TypeIndividualFull NameWiggins, HaleyCredentialARNPGenderFemaleSole ProprietorYesEnumeration Date6/5/2014Last Updated6/28/2018Contact InformationPractice LocationPractice Address449 W 23rd St, Panama City, FL 32405Phone(334) 701-5782FaxUnlisted FaxMailing LocationMailing Address449 W 23rd St, Panama City, FL 32405-4507Phone(334) 701-5782FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9380676FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN 9380676Florida