Healthcare Provider Details

I. General information

NPI: 1942664131
Provider Name (Legal Business Name): CAROLYN FINNEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 02/21/2024
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 E VENICE AVE FL 1
VENICE FL
34292-3190
US

IV. Provider business mailing address

2675 WINKLER AVE FL 2
FORT MYERS FL
33901-9342
US

V. Phone/Fax

Practice location:
  • Phone: 941-483-9700
  • Fax: 941-483-9715
Mailing address:
  • Phone: 877-856-3774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN3180422
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: