Provider Demographics
NPI:1316405004
Name:HIGA, STEPHANIE M (APRN)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:HIGA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KANOELEHUA AVE.
Mailing Address - Street 2:PMB-289
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-895-0675
Mailing Address - Fax:
Practice Address - Street 1:HI DPS-HAWAII COMMUNITY CORRECTIONAL CENTER
Practice Address - Street 2:60 PNAHELE STREET
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-933-0488
Practice Address - Fax:808-933-3117
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-49722163W00000X
HIAPRN-2400363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse