Healthcare Provider Details

I. General information

NPI: 1609547488
Provider Name (Legal Business Name): KRISTEN DIRKS-FINLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN DIRKS

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 REGENT ST STE 200
COLUMBUS OH
43219-6229
US

IV. Provider business mailing address

4200 REGENT ST STE 200
COLUMBUS OH
43219-6229
US

V. Phone/Fax

Practice location:
  • Phone: 877-581-2210
  • Fax:
Mailing address:
  • Phone: 877-870-1775
  • Fax: 614-968-8840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number54159
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61226691
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: