Basic Information
Provider Information
NPI: 1326095647
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA
FirstName: EVELYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
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OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1800 W. CHARLESTON BLVD. STE. 508
Address2: H
City: LAS VEGAS
State: NV
PostalCode: 89102
CountryCode: US
TelephoneNumber: 7023832688
FaxNumber:  
Practice Location
Address1: 525 MARKS ST.
Address2:  
City: HENDERSON
State: NV
PostalCode: 89014
CountryCode: US
TelephoneNumber: 7026711000
FaxNumber: 7024580610
Other Information
ProviderEnumerationDate: 05/30/2006
LastUpdateDate: 10/09/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XARNP 3023252FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LF0000XARNP 3023252FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000XAPRN002573NVY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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