Healthcare Provider Details

I. General information

NPI: 1407484553
Provider Name (Legal Business Name): MICHELLE FINAMORE APRN, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 N HARWOOD ST STE 550
DALLAS TX
75201-6540
US

IV. Provider business mailing address

717 N HARWOOD ST STE 550
DALLAS TX
75201-6540
US

V. Phone/Fax

Practice location:
  • Phone: 877-585-7400
  • Fax: 214-389-0976
Mailing address:
  • Phone: 877-585-7400
  • Fax: 214-389-0976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberAP144723
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: