Provider Demographics
NPI:1841823606
Name:HIGGINS, CHRISTINE DUE (CNM)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:DUE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NMRTC/NAVHOSP 29 PALMS/EMF BRAVO
Mailing Address - Street 2:1145 STURGIS RD
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92278
Mailing Address - Country:US
Mailing Address - Phone:760-830-2451
Mailing Address - Fax:
Practice Address - Street 1:NMRTC/NAVHOSP 29 PALMS/EMF BRAVO
Practice Address - Street 2:1145 STURGIS RD
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92278-8250
Practice Address - Country:US
Practice Address - Phone:760-830-2451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09000339A171000000X, 176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Single Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty