Provider Demographics
NPI:1326916412
Name:HIGGINS, MINDY LYNN
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:LYNN
Last Name:HIGGINS
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 1:318 VIDA ST
Mailing Address - Street 2:
Mailing Address - City:ANTLER
Mailing Address - State:ND
Mailing Address - Zip Code:58711-4002
Mailing Address - Country:US
Mailing Address - Phone:701-871-5526
Mailing Address - Fax:
Practice Address - Street 1:318 VIDA ST
Practice Address - Street 2:
Practice Address - City:ANTLER
Practice Address - State:ND
Practice Address - Zip Code:58711-4002
Practice Address - Country:US
Practice Address - Phone:701-871-5526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant