Provider Demographics
NPI:1487450748
Name:RIGG, STACY A
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:A
Last Name:RIGG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 G P EASTERLY RD
Mailing Address - Street 2:
Mailing Address - City:WEST FARMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44491-9733
Mailing Address - Country:US
Mailing Address - Phone:330-610-7623
Mailing Address - Fax:
Practice Address - Street 1:4849 G P EASTERLY RD
Practice Address - Street 2:
Practice Address - City:WEST FARMINGTON
Practice Address - State:OH
Practice Address - Zip Code:44491-9733
Practice Address - Country:US
Practice Address - Phone:330-610-7623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker