Healthcare Provider Details

I. General information

NPI: 1013563774
Provider Name (Legal Business Name): CRISTI M FINCH CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2019
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4109 WAKE FOREST RD
RALEIGH NC
27609-2510
US

IV. Provider business mailing address

4917 THEYS RD
RALEIGH NC
27606-8915
US

V. Phone/Fax

Practice location:
  • Phone: 919-250-3478
  • Fax:
Mailing address:
  • Phone: 919-946-5463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5012089
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: