Provider Demographics
NPI:1316742794
Name:FIGUEROA, DONTAE
Entity type:Individual
Prefix:
First Name:DONTAE
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2656 W BROADWAY BLVD UNIT 3102
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-8416
Mailing Address - Country:US
Mailing Address - Phone:520-528-3741
Mailing Address - Fax:
Practice Address - Street 1:2656 W BROADWAY BLVD UNIT 3102
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-8416
Practice Address - Country:US
Practice Address - Phone:520-528-3741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide