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Kristan L Higginbotham
Family Nurse Practitioner in Marion, Indiana
NPI 1467715094

Kristan L Higginbotham is a Family Nurse Practitioner based in Marion, IN and is specialized in Family. Kristan L Higginbotham practices in Marion, IN. The NPI Number for Kristan L Higginbotham is 1467715094 and holds a License No. 28159335A (Indiana).

The current practice location address for Kristan L Higginbotham is 1391 N Baldwin Ave, Marion, IN and can be reached out via phone at 765-660-7900 and via fax at 765-671-7751.

Location: 1391 N Baldwin Ave, Marion, IN, 46952-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467715094
Provider Name
Kristan L Higginbotham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1391 N Baldwin Ave, Marion, IN, 46952-2605
Phone Number
765-660-7900
Fax Number
765-671-7751
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000779644 01 ANTHEM
201079220 05 IN
institution
Provider Business Practice Location Address Details
Address
1391 N Baldwin Ave
City
Marion
State
Indiana
Zip
46952-1913
Phone Number
765-660-7900
Fax Number
765-671-7751
person
Provider Business Mailing Address Details
Address
1391 N Baldwin Ave
City
Marion
State
Indiana
Zip
46952-1913
Phone Number
765-660-7900
Fax Number
765-671-7751
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28159335A (Indiana)
Definition
Definition to come...
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