Provider Demographics
NPI:1689048118
Name:HIGLEY-BAILEY, SUSAN STARR (RN-BC, CCM)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:STARR
Last Name:HIGLEY-BAILEY
Suffix:
Gender:F
Credentials:RN-BC, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 C ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3949
Mailing Address - Country:US
Mailing Address - Phone:907-277-1440
Mailing Address - Fax:907-277-1436
Practice Address - Street 1:100 SLOCUM DRIVE
Practice Address - Street 2:
Practice Address - City:KING COVE
Practice Address - State:AK
Practice Address - Zip Code:99612-0009
Practice Address - Country:US
Practice Address - Phone:907-497-2311
Practice Address - Fax:907-497-3190
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-20
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK35046163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management