Dr. Shelley Rene Brencick Higman, DO
Family Medicine in Mount Vernon, WA. Individual provider (NPI-1).
NPI number1982191052
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1982191052
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shelley Rene Brencick Higman
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2018
- Certification date
- Sep 16, 2021
- Last updated
- Sep 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OP61177642 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Shelley Rene Higman (Former Name)
Practice location
1400 E Kincaid StMount Vernon, WA 98274-4127
Phone 360-428-2501 · Fax 360-428-2596
Mailing address
1400 E Kincaid StMount Vernon, WA 98274-4127
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