Healthcare Provider Details

I. General information

NPI: 1497678395
Provider Name (Legal Business Name): FANNY ROSA FIGUEROA CRNP, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 CENTRE AVE
READING PA
19601-1458
US

IV. Provider business mailing address

5466 ASHLEY DR
LAURYS STATION PA
18059-1336
US

V. Phone/Fax

Practice location:
  • Phone: 610-898-1200
  • Fax: 855-576-4856
Mailing address:
  • Phone: 737-770-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP035580
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: