MEDICARE: MARI J. FINLEY

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	363LA2200X	Adult Health Nurse Practitioner	443653	TX

General Provider Information

NPI Number	:	1942575329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARI J. FINLEY

Provider Business Mailing Address
First Line	:	4503 ANGLIN CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76140-4205
Country	:	US
Telephone Number	:	817-689-8691
Fax Number	:

Provider Business Practice Location Address
First Line	:	4503 ANGLIN CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76140-4205
Country	:	US
Telephone Number	:	817-689-8691
Fax Number	:

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

Provider Enumeration Date	:	03/18/2012
Last Update Date	:	06/21/2019

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