Provider Demographics
NPI:1275932857
Name:HUGGINS, KATRINA (CNIM)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3562 PINE ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-9476
Mailing Address - Country:US
Mailing Address - Phone:858-205-9792
Mailing Address - Fax:855-694-6626
Practice Address - Street 1:3562 PINE ST
Practice Address - Street 2:UNIT 1
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-9476
Practice Address - Country:US
Practice Address - Phone:858-205-9792
Practice Address - Fax:855-694-6626
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic