Individual
MRS. VICKY J HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
4100 JERRY MURPHY RD, PUEBLO, CO 81001-1076
(719) 545-9713
(719) 545-2054
Mailing address
4100 JERRY MURPHY RD, PUEBLO, CO 81001-1076
(719) 545-9713
(719) 545-2054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
50850
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70432236
—
CO
Enumeration date
06/20/2005
Last updated
03/14/2008
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