Healthcare Provider Details

I. General information

NPI: 1154656205
Provider Name (Legal Business Name): MARY T. FINLEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5830 HARRISON AVE
CINCINNATI OH
45248-1623
US

IV. Provider business mailing address

8 CADILLAC DR STE. 250
BRENTWOOD TN
37027-5087
US

V. Phone/Fax

Practice location:
  • Phone: 513-693-4035
  • Fax: 513-693-4036
Mailing address:
  • Phone: 615-425-4225
  • Fax: 615-425-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number08473
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: