Provider Demographics
NPI:1215516513
Name:HIGBIE, JANINE (CNS)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:HIGBIE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 KAGAWA ST
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3832
Mailing Address - Country:US
Mailing Address - Phone:646-341-0153
Mailing Address - Fax:
Practice Address - Street 1:871 KAGAWA ST
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3832
Practice Address - Country:US
Practice Address - Phone:646-341-0153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist