Provider Demographics
NPI:1477024461
Name:HIGUERA, ROSIE (RN)
Entity Type:Individual
Prefix:
First Name:ROSIE
Middle Name:
Last Name:HIGUERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7731 W FLOWER ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85033-4944
Mailing Address - Country:US
Mailing Address - Phone:623-691-4615
Mailing Address - Fax:623-691-4620
Practice Address - Street 1:7731 W FLOWER ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-4944
Practice Address - Country:US
Practice Address - Phone:623-691-4615
Practice Address - Fax:623-691-4620
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN196091163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool