Healthcare Provider Details

I. General information

NPI: 1285025114
Provider Name (Legal Business Name): ELIZABETH FINAN RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 02/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 DODGE ST
PROVIDENCE RI
02907-2210
US

IV. Provider business mailing address

37 MATHEWSON ST
CRANSTON RI
02920-5011
US

V. Phone/Fax

Practice location:
  • Phone: 401-383-5150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN54065
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: