Individual
HEIDI ELIZABETH HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
106 W 14TH ST UNIT 1504, KANSAS CITY, MO 64105-2249
(901) 277-4168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14160945061
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43558111061
KS
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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