Provider Demographics
NPI:1932865912
Name:FIGUEREDO, NICOLAS (ND)
Entity Type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:
Last Name:FIGUEREDO
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6758 W ENCINAS LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-0101
Mailing Address - Country:US
Mailing Address - Phone:702-538-6885
Mailing Address - Fax:
Practice Address - Street 1:8700 E VISTA BONITA DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4251
Practice Address - Country:US
Practice Address - Phone:937-985-1384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21-1681207Q00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine