Provider Demographics
NPI:1861762148
Name:HIGGINS, PATRICIA MEAD (RN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MEAD
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:MEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:21 GLAMFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2462
Mailing Address - Country:US
Mailing Address - Phone:516-944-5171
Mailing Address - Fax:
Practice Address - Street 1:21 GLAMFORD AVE
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-2462
Practice Address - Country:US
Practice Address - Phone:516-944-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288368163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool