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Individual

MRS. ANDREA S. HIGGINBOTHAM

Active
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Individual

MRS. ANDREA S. HIGGINBOTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-105427
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
05
630000013
AL
Enumeration date
09/25/2009
Last updated
11/01/2024
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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