Provider Demographics
NPI:1912372921
Name:FIGUEROA, ANGELINA (LVN)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 S DORA ST STE D
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-5465
Mailing Address - Country:US
Mailing Address - Phone:707-472-0362
Mailing Address - Fax:707-472-0121
Practice Address - Street 1:564 S DORA ST STE D
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5465
Practice Address - Country:US
Practice Address - Phone:707-472-0362
Practice Address - Fax:707-472-0121
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA259782164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse