Individual
VALERIE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 814-8515
(314) 814-8542
Mailing address
3704 MORAD CT, FLORISSANT, MO 63034-1529
(314) 340-3261
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
120591
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428838411
—
MO
Enumeration date
10/11/2006
Last updated
03/27/2013
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