MEDICARE: DEBORAH ANN HIGER

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	364SF0001X	Family Health Clinical Nurse Specialist	G72167	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902183098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBORAH ANN HIGER

Provider Business Mailing Address
First Line	:	725 PINE ST
Second Line	:
City	:	MOUNT SHASTA
State	:	CA
Zip	:	96067-2133
Country	:	US
Telephone Number	:	530-926-4556
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 PINE ST
Second Line	:
City	:	MOUNT SHASTA
State	:	CA
Zip	:	96067-2133
Country	:	US
Telephone Number	:	530-926-4556
Fax Number	:	530-926-4532

Authorized Official
Title or Position	:	OWNER
Name	:	DEBORAH ANN HIGER
Credential	:	MD
Telephone Number	:	530-926-4556

Provider Enumeration Date	:	11/03/2011
Last Update Date	:	12/01/2016

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