Individual
TAMMY HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 236-3726
Mailing address
223 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
45455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100053920
—
KY
Enumeration date
01/23/2008
Last updated
01/15/2021
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