Doctor Name: | MR. MICHAEL HIGGISON |
NPI Number: | 1437137882 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | 002489 |
Business Practice Address: | 100 Grand St Dept Of Psychiatry New Britain, CT - 060522016 |
Business Phone Number: | 8602245804 |
Business Fax Number: | 8602245734 |
Mailing Address: | 100 Grand St, NEW BRITAIN |
State: | CT |
Postal Code: | 060522016 |
Phone Number: | 8602245804 |
Fax Number: | 8602245734 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 12/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 002489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |