MEDICARE: MRS. CAROL OSBORN FINLAYSON FNP

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	363LF0000X	Family Nurse Practitioner	4704117969	MI

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	:	1740264001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROL OSBORN FINLAYSON FNP

Provider Business Mailing Address
First Line	:	11315 EDGEWATER DR
Second Line	:
City	:	ALLENDALE
State	:	MI
Zip	:	49401-9396
Country	:	US
Telephone Number	:	616-895-2000
Fax Number	:	616-895-2009

Provider Business Practice Location Address
First Line	:	11315 EDGEWATER DR
Second Line	:
City	:	ALLENDALE
State	:	MI
Zip	:	49401-9396
Country	:	US
Telephone Number	:	616-895-2000
Fax Number	:	616-895-2009

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	02/12/2014

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