Healthcare Provider Details

I. General information

NPI: 1104710334
Provider Name (Legal Business Name): ERIN SHEA FINNERTY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 BEECH AVE
CARLSBAD CA
92008-1602
US

IV. Provider business mailing address

622 NAUTILUS ST
LA JOLLA CA
92037-6101
US

V. Phone/Fax

Practice location:
  • Phone: 760-730-6587
  • Fax:
Mailing address:
  • Phone: 615-428-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number95034329
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: