Individual
MONICA GENE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4610 KANAWHA AVE SW STE 200, SOUTH CHARLESTON, WV 25309-1367
(304) 205-7992
(304) 205-7739
Mailing address
1532 BRIDGE RD APT F, CHARLESTON, WV 25314-1900
(304) 382-7662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN70740NP
WV
Other
Enumeration date
07/23/2018
Last updated
11/10/2021
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