Individual
SUE ANN HIGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13140 W EL LOBO RD, TUCSON, AZ 85743-9390
(608) 395-9653
Mailing address
13140 W EL LOBO RD, TUCSON, AZ 85743-9390
(608) 395-9653
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
174788-30
WI
163WG0000X
General Practice Registered Nurse
Primary
TRN185728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174788-30
RN
WI
01
—
SEPONE2010
NPI
AZ
01
—
TRN185728
RN
AZ
Enumeration date
06/16/2014
Last updated
06/16/2014
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