Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace T. Wiggam, RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1932739141

Wallace T. Wiggam, RN is an Addiction (Substance Use Disorder) Registered Nurse in Santa Rosa, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2403 Professional Dr # CA
Santa Rosa, CA 95403-3007
Phone: (707) 544-3295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 307469 (CA)

Record details

NPI number1932739141
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

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