Provider Demographics
NPI:1194139311
Name:HIGGINS, SHEILA (LVN)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 FREIDRICH LN TRLR 31
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-2729
Mailing Address - Country:US
Mailing Address - Phone:512-773-0204
Mailing Address - Fax:
Practice Address - Street 1:5400 FREIDRICH LN TRLR 31
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-2729
Practice Address - Country:US
Practice Address - Phone:512-773-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117263164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse