Healthcare Provider Details

I. General information

NPI: 1942575329
Provider Name (Legal Business Name): MARI J. FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARI J. FINLEY RN ANP-BC

II. Dates (important events)

Enumeration Date: 03/18/2012
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4503 ANGLIN CIR
FORT WORTH TX
76140-4205
US

IV. Provider business mailing address

4503 ANGLIN CIR
FORT WORTH TX
76140-4205
US

V. Phone/Fax

Practice location:
  • Phone: 817-689-8691
  • Fax:
Mailing address:
  • Phone: 817-689-8691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number443653
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: