Individual
TANYA HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3801 SPRING ST, RACINE, WI 53405
(262) 687-4011
Mailing address
W7075 W BUSH RD, PARDEEVILLE, WI 53954-8719
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10158
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528685252
—
WI
Enumeration date
06/29/2020
Last updated
11/05/2024
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