Healthcare Provider Details

I. General information

NPI: 1144558925
Provider Name (Legal Business Name): GLENN RAMON FINLEY ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2009
Last Update Date: 12/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1063 MARLBORO RD
BRATTLEBORO VT
05301-9705
US

IV. Provider business mailing address

1063 MARLBORO RD
BRATTLEBORO VT
05301-9705
US

V. Phone/Fax

Practice location:
  • Phone: 802-254-9332
  • Fax: 802-258-2629
Mailing address:
  • Phone: 802-254-9332
  • Fax: 802-258-2629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number99-0000218
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: