Provider Demographics
NPI:1750013207
Name:HIGHLEY, NINA RACHELLE
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:RACHELLE
Last Name:HIGHLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4816 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-5356
Mailing Address - Country:US
Mailing Address - Phone:151-399-7072
Mailing Address - Fax:
Practice Address - Street 1:4816 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-5356
Practice Address - Country:US
Practice Address - Phone:151-399-7072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker