Provider Demographics
NPI:1629556071
Name:HIGGINS, CAUSHAUANA (PHD, RN, CHC)
Entity Type:Individual
Prefix:
First Name:CAUSHAUANA
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:PHD, RN, CHC
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, RN, CHC
Mailing Address - Street 1:7630 E PICKET FENCE LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-6116
Mailing Address - Country:US
Mailing Address - Phone:575-347-1864
Mailing Address - Fax:
Practice Address - Street 1:7630 E PICKET FENCE LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-6116
Practice Address - Country:US
Practice Address - Phone:575-347-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-29
Last Update Date:2018-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN280580163W00000X
FLRN9420805163W00000X
AZRN213047163W00000X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No163W00000XNursing Service ProvidersRegistered Nurse