1013104926 NPI number — MRS. MICHELLE RUTH FINAMORE APRN, BC

Table of content: MRS. MICHELLE RUTH FINAMORE APRN, BC (NPI 1013104926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013104926 NPI number — MRS. MICHELLE RUTH FINAMORE APRN, BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINAMORE
Provider First Name:
MICHELLE
Provider Middle Name:
RUTH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LUIZZA
Provider Other First Name:
MICHELLE
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN, BC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1013104926
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 95000 LB# 7550
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19195-7550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-362-1735
Provider Business Mailing Address Fax Number:
973-290-7495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 GREENWICH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELVIDERE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07823-1409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-338-1280
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  NN106114 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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