Provider Demographics
NPI:1902573108
Name:FIGUEROA, DEEANNA J (RN)
Entity type:Individual
Prefix:
First Name:DEEANNA
Middle Name:J
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 N PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3085
Mailing Address - Country:US
Mailing Address - Phone:717-553-5341
Mailing Address - Fax:717-869-6411
Practice Address - Street 1:354 N PRINCE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3085
Practice Address - Country:US
Practice Address - Phone:717-553-5341
Practice Address - Fax:717-869-6411
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA034414E103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist