Healthcare Provider Details

I. General information

NPI: 1205027687
Provider Name (Legal Business Name): MICHELLE L HIGGINS APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 CENTER TOWN PLZ N
STEWARTVILLE MN
55976-1245
US

IV. Provider business mailing address

208 CENTER TOWN PLZ N
STEWARTVILLE MN
55976-1245
US

V. Phone/Fax

Practice location:
  • Phone: 507-533-4727
  • Fax:
Mailing address:
  • Phone: 507-533-4727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1592
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: