Healthcare Provider Details

I. General information

NPI: 1073278123
Provider Name (Legal Business Name): MAURA FIGUEROA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8508 SLABSTONE CT
RALEIGH NC
27613-7485
US

IV. Provider business mailing address

8508 SLABSTONE CT
RALEIGH NC
27613-7485
US

V. Phone/Fax

Practice location:
  • Phone: 617-312-0975
  • Fax:
Mailing address:
  • Phone: 617-312-0975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number328589
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: