Healthcare Provider Details

I. General information

NPI: 1952308520
Provider Name (Legal Business Name): MICHAEL L HUGGINS APRN FNP-BC; GNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 12TH AVE SEATTLE UNIVERSITY COLLEGE OF NURSING
SEATTLE WA
98122-4411
US

IV. Provider business mailing address

901 12TH AVE SEATTLE UNIVERSITY COLLEGE OF NURSING
SEATTLE WA
98122-4411
US

V. Phone/Fax

Practice location:
  • Phone: 206-296-2638
  • Fax:
Mailing address:
  • Phone: 206-296-2638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP60341113
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60329776
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60341113
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: