Healthcare Provider Details

I. General information

NPI: 1114110160
Provider Name (Legal Business Name): GINA HIGGINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 LEXINGTON ST
NEW BRITAIN CT
06052-1416
US

IV. Provider business mailing address

7 MARK TWAIN DR
EAST HAMPTON CT
06424-1528
US

V. Phone/Fax

Practice location:
  • Phone: 860-823-1399
  • Fax: 860-823-1170
Mailing address:
  • Phone: 860-237-7573
  • Fax: 860-413-0825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number003645
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP181022
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: