MEDICARE: BRITTANY HIGGINS

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
1	163W00000X	Registered Nurse	395715	OH

General Provider Information

NPI Number	:	1619387446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY HIGGINS

Provider Business Mailing Address
First Line	:	1428 GOLDEN GATE BLVD
Second Line	:	APT H6
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-6832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1428 GOLDEN GATE BLVD
Second Line	:	APT H6
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-6832
Country	:	US
Telephone Number	:	330-301-4279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2014
Last Update Date	:	05/01/2014

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