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NPI Code Detail

MEDICARE: MS. MARY F HIGGINS FNP-BC

MEDICARE: MS. MARY F HIGGINS FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN280911MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093064164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY F HIGGINS FNP-BC
Provider Business Mailing Address
First Line : 36 ESSEX RD
Second Line : LAHEY IPSWICH
City : IPSWICH
State : MA
Zip : 01938-2599
Country : US
Telephone Number : 978-356-5522
Fax Number : 978-356-0218
Provider Business Practice Location Address
First Line : 36 ESSEX RD
Second Line : LAHEY IPSWICH
City : IPSWICH
State : MA
Zip : 01938-2599
Country : US
Telephone Number : 978-356-5522
Fax Number : 978-356-0218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 08/16/2013

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1184725566 — CARL A SODERLAND MD
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1588824601 — KATHLEEN TOWNES M.D.
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