MEDICARE: DR. MICHAEL L HUGGINS APRN FNP-BC; GNP-BC

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	363LG0600X	Gerontology Nurse Practitioner	AP60341113	WA
2	163W00000X	Registered Nurse	RN60329776	WA
3	363LF0000X	Family Nurse Practitioner	AP60341113	WA

General Provider Information

NPI Number	:	1952308520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL L HUGGINS APRN FNP-BC; GNP-BC

Provider Business Mailing Address
First Line	:	901 12TH AVE
Second Line	:	SEATTLE UNIVERSITY COLLEGE OF NURSING
City	:	SEATTLE
State	:	WA
Zip	:	98122-4411
Country	:	US
Telephone Number	:	206-296-2638
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 12TH AVE
Second Line	:	SEATTLE UNIVERSITY COLLEGE OF NURSING
City	:	SEATTLE
State	:	WA
Zip	:	98122-4411
Country	:	US
Telephone Number	:	206-296-2638
Fax Number	:

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/13/2016

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