Provider Demographics
NPI:1457356792
Name:FIGUEROA, RENEE SUNSHINE (MSN, APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:SUNSHINE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WHITCHER ST NE
Mailing Address - Street 2:STE 460
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1171
Mailing Address - Country:US
Mailing Address - Phone:770-427-7389
Mailing Address - Fax:770-427-2845
Practice Address - Street 1:55 WHITCHER ST NE
Practice Address - Street 2:STE 460
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1171
Practice Address - Country:US
Practice Address - Phone:770-427-7389
Practice Address - Fax:770-427-2845
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
GARN143128363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003112818AMedicaid
GA003112818CMedicaid
GA003112818BMedicaid
GA003112818IMedicaid
GA003112818JMedicaid
GA003112818OMedicaid
GA003112818PMedicaid
GA003112818EMedicaid
GARN143128OtherADULT NURSE PRACTITIONER
GA003112818LMedicaid
GA003112818DMedicaid
GA003112818FMedicaid
GA003112818GMedicaid
GA003112818HMedicaid
GA003112818KMedicaid
GA003112818MMedicaid
GA003112818NMedicaid
GA003112818AMedicaid