Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000836680I | |
Y | 222Z00000X | Podiatrist | 000836680I | |
N | 224P00000X | Prosthetist | 000836680I |
NPI | 1154096428 |
---|---|
Provider Name | Brittany Elizabeth Higginson |
First Address | Auburn, CA 95603-2854 |
Second Address | Auburn, CA 95603-2854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2021 |
Last Update Date | 10/08/2021 |