Provider Demographics
NPI:1851153258
Name:HIGGS, STEVEN M (RN)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:HIGGS
Suffix:
Gender:M
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:PO BOX 1228
Mailing Address - Street 2:
Mailing Address - City:CARLSBORG
Mailing Address - State:WA
Mailing Address - Zip Code:98324-1228
Mailing Address - Country:US
Mailing Address - Phone:360-681-6206
Mailing Address - Fax:360-681-6208
Practice Address - Street 1:1001 E WASHINGTON ST STE 7
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3576
Practice Address - Country:US
Practice Address - Phone:360-681-6206
Practice Address - Fax:360-681-6208
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60474464163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health