Healthcare Provider Details

I. General information

NPI: 1417661489
Provider Name (Legal Business Name): CHRISTIANNA FINN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E 7TH ST
LOS ANGELES CA
90014-2209
US

IV. Provider business mailing address

555 MAINE AVE UNIT 319
LONG BEACH CA
90802-1167
US

V. Phone/Fax

Practice location:
  • Phone: 213-893-1960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95023511
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number849298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: