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NPI Code Detail

MEDICARE: MS. KRYSTALLE MARIE HIGGINS

MEDICARE:  MS. KRYSTALLE MARIE HIGGINS
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 NursePN5229135FL

General Provider Information

NPI Number : 1447991906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRYSTALLE MARIE HIGGINS
Provider Business Mailing Address
First Line : 9320 BELAIRE DR
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3880
Country : US
Telephone Number : 305-721-8863
Fax Number :
Provider Business Practice Location Address
First Line : 9320 BELAIRE DR
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3880
Country : US
Telephone Number : 305-721-8863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 04/06/2022

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Directions to “ MS. KRYSTALLE MARIE HIGGINS ” Practice Location

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