Provider Demographics
NPI:1720602097
Name:FIGUEROA, SOFIA (APRN)
Entity Type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 S LINCOLN AVE STE K
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-4291
Mailing Address - Country:US
Mailing Address - Phone:630-870-3613
Mailing Address - Fax:630-229-0184
Practice Address - Street 1:157 S LINCOLN AVE STE K
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-4291
Practice Address - Country:US
Practice Address - Phone:630-870-3613
Practice Address - Fax:630-229-0184
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021050363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily