Provider Demographics
NPI:1962253492
Name:FIGUEROA, NATHAN ANDREW
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:ANDREW
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 WINDSOR CIR
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-9323
Mailing Address - Country:US
Mailing Address - Phone:304-888-2064
Mailing Address - Fax:
Practice Address - Street 1:112 WINDSOR CIR
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-9323
Practice Address - Country:US
Practice Address - Phone:304-888-2064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program