Healthcare Provider Details

I. General information

NPI: 1063612554
Provider Name (Legal Business Name): VALERIA NOELIA HIGINIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9119 W 74TH ST STE 210
SHAWNEE MISSION KS
66204-2229
US

IV. Provider business mailing address

405 S CLAIRBORNE RD STE 2
OLATHE KS
66062-1774
US

V. Phone/Fax

Practice location:
  • Phone: 913-648-2266
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101263418
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: