Individual
MS. RUSSETTE ANN HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC.WHNP
Contact information
Practice address
615 N STATE ST, SUITE 2, STANTON, MI 48888-9702
(989) 831-5237
(989) 831-5522
Mailing address
1746 E HYDE RD, SAINT JOHNS, MI 48879-8418
(989) 224-4897
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704087519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704087519
STATE LICENSE
MI
Enumeration date
09/25/2006
Last updated
07/08/2007
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