Healthcare Provider Details

I. General information

NPI: 1235123720
Provider Name (Legal Business Name): CAROLINE J FINLEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 03/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 W THUNDERBIRD RD SUITE E 255
GLENDALE AZ
85306-4641
US

IV. Provider business mailing address

1832 E PARKSIDE LN
PHOENIX AZ
85024-2485
US

V. Phone/Fax

Practice location:
  • Phone: 602-843-1991
  • Fax: 602-843-3224
Mailing address:
  • Phone: 480-502-9590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2823
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: