Provider Demographics
NPI:1922147693
Name:HIGGS, WILLIAM MARK (CRNA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:MARK
Last Name:HIGGS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:430 FLESHMAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-1536
Mailing Address - Country:US
Mailing Address - Phone:406-222-5150
Mailing Address - Fax:406-222-5150
Practice Address - Street 1:430 FLESHMAN CREEK RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-1536
Practice Address - Country:US
Practice Address - Phone:406-222-5150
Practice Address - Fax:406-222-5150
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT24300367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered