Individual
SARAH MARIE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 BROADWAY EXT STE 203, OKLAHOMA CITY, OK 73114-6304
(405) 424-5417
Mailing address
2428 NW 195TH ST, EDMOND, OK 73012-3539
(918) 694-9116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110817
OK
Other
Enumeration date
06/22/2018
Last updated
07/10/2019
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