Provider Demographics
NPI:1144920240
Name:HIGGINBOTHAM, ARNESHA LASHA
Entity type:Individual
Prefix:
First Name:ARNESHA
Middle Name:LASHA
Last Name:HIGGINBOTHAM
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 1:1613 6TH AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25387-2450
Mailing Address - Country:US
Mailing Address - Phone:304-541-7337
Mailing Address - Fax:
Practice Address - Street 1:1613 6TH AVE APT 307
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25387-2450
Practice Address - Country:US
Practice Address - Phone:304-541-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant