Healthcare Provider Details

I. General information

NPI: 1336595115
Provider Name (Legal Business Name): CORLISS FINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5123 W 98TH ST # 1269
MINNEAPOLIS MN
55437-2040
US

IV. Provider business mailing address

3802 HIGHLAND AVE
WHITE BEAR LAKE MN
55110-7329
US

V. Phone/Fax

Practice location:
  • Phone: 612-361-6526
  • Fax:
Mailing address:
  • Phone: 512-401-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: