Doctor Name: | MRS. ANDREA S. HIGGINBOTHAM |
NPI Number: | 1003140971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-105427 |
Business Practice Address: | 50 Medical Park Dr E Birmingham, AL - 352353401 |
Business Phone Number: | 2059302456 |
Business Fax Number: | |
Mailing Address: | 50 Medical Park Dr E, BIRMINGHAM |
State: | AL |
Postal Code: | 352353401 |
Phone Number: | 2059302456 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2009 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 1-105427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |