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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES HIGGINS JR., RD CSR

Active Sole Proprietor

MR. CHARLES HIGGINS JR., RD CSR is a Renal Nutrition healthcare provider located in PHOENIX, Arizona. NPI 1285143115 is currently active in the NPPES registry. Verify at CMS.

Renal Nutrition · PHOENIX, AZ

Registration Details

NPI Number
1285143115
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2017 (8.8620252427612 yrs)
Last Updated
Apr 12, 2021
Licenses
1081333 (AZ)
1081333 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1601 E HIGHLAND AVE APT 1082
PHOENIX, AZ, 850160609
Browse AZ providers · Browse ZIP 85016
Phone
7164252764
Fax
6028404445
Primary Specialty
Renal Nutrition
133VN1005X
Additional Specialty
Renal Nutrition
Additional Specialty
Renal Nutrition

Other Renal Nutrition Providers in PHOENIX, AZ

Name Credential NPI
TERRI L FISHER RD,LD 1790892347
MRS. ANGELA MARIA SZCZERBIAK RD 1578349056
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.