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General NPI Number Information
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NPI Number | 1922812288
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Entity Type | Organization
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Legal Business Name | CARISSA HIGGINS INC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 405 W MAIN ST
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City | PAYSON
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State | AZ
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Zip | 85541-5345
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Country | US
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Telephone | 480-648-7628
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Fax | 480-750-0019
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Provider Business Mailing Address
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Address Line | 127 S MESQUITE DR
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City | PAYSON
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State | AZ
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Zip | 85541-2093
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Country | US
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Telephone | 480-648-7628
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Fax | 480-750-0019
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Authorized Official
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Title or Position | PMHNP/OWNER
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Name | CARISSA HIGGINS
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Credential | PMHNP
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Telephone | 480-648-7628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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