IndividualActive
Charles Higgins, RD CSR
NPI 1285143115 · Renal Nutrition Registered Dietitian · Phoenix, AZ
Provider details
- NPI number
- 1285143115
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD CSR
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1081333 (AZ)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Renal Nutrition Registered Dietitian133VN1005X
Dietary & Nutritional Service Providers
Practice location
1601 E Highland Ave Apt 1082
Phoenix, AZ 85016-0609
Phone: (716) 425-2764
Fax: (602) 840-4445
Approximate (ZIP-level) locationGet directions
Mailing address
1601 E Highland Ave Apt 1082
Phoenix, AZ 85016-0609
Registry dates
- Enumerated
- 2017-09-22
- Last updated
- 2021-04-12
- Certified
- 2021-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.