Provider Demographics
NPI:1013346634
Name:RIMMASCH, ALEC HIGGINS JR (NP-C)
Entity Type:Individual
Prefix:MR
First Name:ALEC
Middle Name:HIGGINS
Last Name:RIMMASCH
Suffix:JR
Gender:M
Credentials:NP-C
Other - Prefix:MR
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:RIMMASCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:175 N 100 W STE 104
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2054
Mailing Address - Country:US
Mailing Address - Phone:435-781-3053
Mailing Address - Fax:435-781-3055
Practice Address - Street 1:175 N 100 W STE 104
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2054
Practice Address - Country:US
Practice Address - Phone:435-781-3053
Practice Address - Fax:435-781-3055
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6590438-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily