Individual
MARY K HIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
304 W DELAWARE AVE, URBANA, IL 61801
(217) 898-0249
Mailing address
304 W DELAWARE AVE, URBANA, IL 61801-4907
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
277000648
IL
367A00000X
Advanced Practice Midwife
09000385A
IN
367A00000X
Advanced Practice Midwife
209002872
IL
367A00000X
Advanced Practice Midwife
209002872
IN
Other
Enumeration date
10/27/2006
Last updated
10/05/2022
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