Healthcare Provider Details

I. General information

NPI: 1780647289
Provider Name (Legal Business Name): JANIS C FINELLI CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 12/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 FISHER RD STE 1-4 CENTRAL VT WOMEN'S HEALTH
BERLIN VT
05602-9000
US

IV. Provider business mailing address

PO BOX 547 ATT: CVMC FINANCE DEPT
BARRE VT
05641-0547
US

V. Phone/Fax

Practice location:
  • Phone: 802-371-5960
  • Fax: 802-371-5961
Mailing address:
  • Phone: 802-371-5960
  • Fax: 802-371-5961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR40494
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024169395
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAC001007
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN11021412
License Number StateDC
# 5
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number101-0017200
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: