Healthcare Provider Details

I. General information

NPI: 1164412847
Provider Name (Legal Business Name): DEE ANN HIGGINS AUDIOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 WEST 39TH STREET
KEARNEY NE
68845-8001
US

IV. Provider business mailing address

615 WEST 39TH STREET
KEARNEY NE
68845-8001
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-2277
  • Fax: 308-865-2523
Mailing address:
  • Phone: 308-865-2277
  • Fax: 308-865-2523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number145
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number602
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: