Individual
MARSHALL J HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(120) 766-2252
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA103027
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497059331
—
ME
Enumeration date
01/07/2011
Last updated
07/20/2021
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