Healthcare Provider Details

I. General information

NPI: 1689334369
Provider Name (Legal Business Name): MARK ANTHONY FIGUEROA FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2021
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 MAIN ST
STONEHAM MA
02180-3346
US

IV. Provider business mailing address

926 MAIN ST
NASHVILLE TN
37206-3614
US

V. Phone/Fax

Practice location:
  • Phone: 781-438-2927
  • Fax: 339-999-0741
Mailing address:
  • Phone: 615-436-9060
  • Fax: 339-999-0741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11023942
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2349307
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN2349307
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2349307
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: