Higginbotham, Valerie

Higginbotham, Valerie is an individual health care provider with primary practice located at 4414 N Florissant Ave , Saint Louis MO 63107-1812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Higginbotham, Valerie can be contacted via phone (314) 814-8515.

Contact Information

Primary practice address
4414 N Florissant Ave Saint Louis MO 63107-1812
Phone: (314) 814-8515
Fax: (314) 814-8542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X 120591 Missouri

Profile Details

NPI number 1790873743
LBN Legal business name Higginbotham, Valerie
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790873743 NPPES
Missouri MEDICAID 428838411

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