Healthcare Provider Details

I. General information

NPI: 1396369989
Provider Name (Legal Business Name): ANDREW FINKLEY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2020
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10236 ALDER GREEN DR
RIVERVIEW FL
33578-6283
US

IV. Provider business mailing address

10236 ALDER GREEN DR
RIVERVIEW FL
33578-6283
US

V. Phone/Fax

Practice location:
  • Phone: 727-278-4014
  • Fax:
Mailing address:
  • Phone: 727-278-4014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9404734
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN9404734
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9404734
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberPMD518742
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN9404734
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9404734
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: