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NPI Code Detail

MEDICARE: JOANNE MARIE HIGGINS CRNA

MEDICARE: JOANNE MARIE HIGGINS CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN273344LRI
2367500000XCertified Registered Nurse AnesthetistRN273344LPA

General Provider Information

NPI Number : 1407852163
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE MARIE HIGGINS CRNA
Provider Business Mailing Address
First Line : 610 W GERMANTOWN PIKE STE 150
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1062
Country : US
Telephone Number : 610-525-4966
Fax Number :
Provider Business Practice Location Address
First Line : 1200 MANOR DR
Second Line :
City : CHALFONT
State : PA
Zip : 18914-2282
Country : US
Telephone Number : 116-326-7954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 10/17/2023

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Directions to “ JOANNE MARIE HIGGINS CRNA” Practice Location

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