Provider Demographics
NPI:1649519877
Name:FIGUEROA, BRENDA LEE (ARNP/FNP-C)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:LEE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:ARNP/FNP-C
Other - Prefix:
Other - First Name:BRENDALEE
Other - Middle Name:
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:6702 W LINEBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-4953
Mailing Address - Country:US
Mailing Address - Phone:813-450-1792
Mailing Address - Fax:813-630-3094
Practice Address - Street 1:6702 WEST LINEBAUGH AVE.
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625
Practice Address - Country:US
Practice Address - Phone:813-630-3059
Practice Address - Fax:813-630-3059
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9235999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL011142100Medicaid
FLHA070YMedicare PIN