MEDICARE: MARY ANN FINNEGAN

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	163W00000X	Registered Nurse	RN135045	AZ

General Provider Information

NPI Number	:	1336303015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN FINNEGAN

Provider Business Mailing Address
First Line	:	2830 N SYCAMORE AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5151 E BROADWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3705
Country	:	US
Telephone Number	:	520-747-4110
Fax Number	:

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

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	07/11/2008

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Directions to “ MARY ANN FINNEGAN ” Practice Location

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