MEDICARE: MS. KATHLEEN ANN FINN R.N., A.N.P., C.N.M.

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	6586	AK
2	163WW0101X	Ambulatory Women's Health Care Registered Nurse	271	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568765543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN ANN FINN R.N., A.N.P., C.N.M.

Provider Business Mailing Address
First Line	:	1020 EAST RD.
Second Line	:
City	:	HOMER
State	:	AK
Zip	:	99603
Country	:	US
Telephone Number	:	907-235-5329
Fax Number	:	907-235-3691

Provider Business Practice Location Address
First Line	:	1020 E END RD
Second Line	:
City	:	HOMER
State	:	AK
Zip	:	99603-7205
Country	:	US
Telephone Number	:	907-235-5329
Fax Number	:	907-235-3691

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

Provider Enumeration Date	:	12/13/2010
Last Update Date	:	12/13/2010

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