Provider Demographics
NPI:1255717344
Name:FIGUEREO, JOE MIGUEL
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:MIGUEL
Last Name:FIGUEREO
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 1:9 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1648
Mailing Address - Country:US
Mailing Address - Phone:978-857-3047
Mailing Address - Fax:
Practice Address - Street 1:314 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3406
Practice Address - Country:US
Practice Address - Phone:603-272-6500
Practice Address - Fax:603-290-5667
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH070693-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health