Healthcare Provider Details

I. General information

NPI: 1053107698
Provider Name (Legal Business Name): COREY HUX RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: COREY HIGGINS NA

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36755 FRAZIER RD
SOLDOTNA AK
99669-6805
US

IV. Provider business mailing address

36755 FRAZIER RD
SOLDOTNA AK
99669-6805
US

V. Phone/Fax

Practice location:
  • Phone: 520-834-4482
  • Fax:
Mailing address:
  • Phone: 520-834-4482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number193002
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: