Provider Demographics
NPI:1114510948
Name:FIGUEROA, MICHELLE GARCIA (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:GARCIA
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6622 N 91ST AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-2569
Mailing Address - Country:US
Mailing Address - Phone:602-759-6883
Mailing Address - Fax:602-224-3315
Practice Address - Street 1:21410 N 19TH AVE STE 131
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-2759
Practice Address - Country:US
Practice Address - Phone:623-780-1371
Practice Address - Fax:623-780-1393
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ254003363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ087458Medicaid