MEDICARE: MR. ALLAN T FINCH JR. RN

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	0001206945	VA

General Provider Information

NPI Number	:	1093675688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALLAN T FINCH JR. RN

Provider Business Mailing Address
First Line	:	401 CAMPBELL AVE SW APT 201
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24016-3626
Country	:	US
Telephone Number	:	540-312-4416
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 CAMPBELL AVE SW APT 201
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24016-3626
Country	:	US
Telephone Number	:	540-312-4416
Fax Number	:

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

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	11/14/2025

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