Provider Demographics
NPI:1952487308
Name:HIGGINS, FRANCES WILSON (RN MS CS)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:WILSON
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:RN MS CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501
Mailing Address - Country:US
Mailing Address - Phone:970-242-4567
Mailing Address - Fax:970-248-9006
Practice Address - Street 1:951 MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3538
Practice Address - Country:US
Practice Address - Phone:970-242-4567
Practice Address - Fax:970-248-9006
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43254364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO076457Medicaid
COC71396Medicare ID - Type Unspecified