MEDICARE: ANGELA F FINLAYSON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	2303	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00982304	OTHER	SC	RR MEDICARE
4	P00829252	OTHER	SC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1659311165	OTHER	SC	BONNEAU NPI SITE #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407806706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA F FINLAYSON NP

Provider Business Mailing Address
First Line	:	913 BOWMAN RD # B
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3235
Country	:	US
Telephone Number	:	843-856-9530
Fax Number	:	843-971-1345

Provider Business Practice Location Address
First Line	:	913 BOWMAN RD # B
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3235
Country	:	US
Telephone Number	:	843-856-9530
Fax Number	:	843-971-1345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	03/28/2013

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