Provider Demographics
NPI:1144299439
Name:THIELEN-FIGUEROA, DENISE KATHLEEN (RN)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:KATHLEEN
Last Name:THIELEN-FIGUEROA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5851 HOLATEE TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33330-3023
Mailing Address - Country:US
Mailing Address - Phone:954-434-3251
Mailing Address - Fax:305-362-2206
Practice Address - Street 1:6490 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2609
Practice Address - Country:US
Practice Address - Phone:305-362-5599
Practice Address - Fax:305-362-2206
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 908632163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN 908632OtherREGISTERED NURSE