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NPI Code Detail

MEDICARE: ANGEL HIGBEE

MEDICARE:   ANGEL  HIGBEE
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
1164W00000XLicensed Practical Nurse0002107284VA

General Provider Information

NPI Number : 1194658849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL HIGBEE
Provider Business Mailing Address
First Line : 1728 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4533
Country : US
Telephone Number : 844-909-2375
Fax Number :
Provider Business Practice Location Address
First Line : 1728 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4533
Country : US
Telephone Number : 844-909-2375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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