Individual
PAMELA A HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 828-2700
(920) 828-2705
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11188-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183427
—
WI
05
—
35033300
—
WI
Enumeration date
08/07/2007
Last updated
10/14/2024
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