MEDICARE: CRISTI M FINCH CPNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	5012089	NC

General Provider Information

NPI Number	:	1013563774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTI M FINCH CPNP

Provider Business Mailing Address
First Line	:	4917 THEYS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-8915
Country	:	US
Telephone Number	:	919-946-5463
Fax Number	:

Provider Business Practice Location Address
First Line	:	4109 WAKE FOREST RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-2510
Country	:	US
Telephone Number	:	919-250-3478
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	04/04/2024

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