Healthcare Provider Details

I. General information

NPI: 1881512218
Provider Name (Legal Business Name): GREGORY HIGHFILL NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

2709 THIRSTY MAGOO CT
MINDEN NV
89423-8041
US

IV. Provider business mailing address

2709 THIRSTY MAGOO CT
MINDEN NV
89423-8041
US

V. Phone/Fax

Practice location:
  • Phone: 619-823-4572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number838072
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: