Healthcare Provider Details

I. General information

NPI: 1629511225
Provider Name (Legal Business Name): BRITTNEY NICOLE FINNEGAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTNEY N FINNEGAN FINNEGAN

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON AVE
EVANSVILLE IN
47714-0541
US

IV. Provider business mailing address

1725 PINE ST
MONTGOMERY AL
36106-1117
US

V. Phone/Fax

Practice location:
  • Phone: 812-473-0181
  • Fax:
Mailing address:
  • Phone: 612-401-6130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number22133
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number882835
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: