Healthcare Provider Details

I. General information

NPI: 1063876373
Provider Name (Legal Business Name): MRS. ELIZABETH FIGUEROA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 04/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 W HORIZON RIDGE PKWY 101
HENDERSON NV
89052-4427
US

IV. Provider business mailing address

2821 W HORIZON RIDGE PKWY #101
HENDERSON NV
89052-4427
US

V. Phone/Fax

Practice location:
  • Phone: 702-893-3333
  • Fax: 702-893-0960
Mailing address:
  • Phone: 702-893-3333
  • Fax: 702-893-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2002720 062 101
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number2002720 062 101
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License Number2002720 062 101
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: