Individual
MRS. NICOLETTE R HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2311 LIME KILN LN, LOUISVILLE, KY 40222-3460
(484) 686-1624
Mailing address
2311 LIME KILN LN, LOUISVILLE, KY 40222-3460
(484) 686-1624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1143419
KY
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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