Healthcare Provider Details

I. General information

NPI: 1104176478
Provider Name (Legal Business Name): MONICA B FINLEY FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 SCHOODIC DR
BELFAST ME
04915-7246
US

IV. Provider business mailing address

PO BOX 1599 PENOBSCOT COMMUNITY HEALTH CENTER
BANGOR ME
04402-1599
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-6900
  • Fax: 207-338-4974
Mailing address:
  • Phone: 207-945-5247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP121043
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: