Healthcare Provider Details

I. General information

NPI: 1619617537
Provider Name (Legal Business Name): COURTNEY A FINNIGAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 LOCUST ST STE 101
NORTHAMPTON MA
01062-2770
US

IV. Provider business mailing address

267 LOCUST ST STE 101
NORTHAMPTON MA
01062-2770
US

V. Phone/Fax

Practice location:
  • Phone: 413-253-2767
  • Fax: 413-253-9767
Mailing address:
  • Phone: 413-253-2767
  • Fax: 413-253-9767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: