Healthcare Provider Details

I. General information

NPI: 1013104926
Provider Name (Legal Business Name): MICHELLE RUTH FINAMORE APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE RUTH LUIZZA APRN, BC

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 02/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GREENWICH ST
BELVIDERE NJ
07823-1409
US

IV. Provider business mailing address

PO BOX 95000 LB# 7550
PHILADELPHIA PA
19195-7550
US

V. Phone/Fax

Practice location:
  • Phone: 908-338-1280
  • Fax:
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNN106114
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: