1174266431 NPI number — CHRISTA MICHELLE FINFER REGISTERED NURSE

Table of content: CHRISTA MICHELLE FINFER REGISTERED NURSE (NPI 1174266431)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174266431 NPI number — CHRISTA MICHELLE FINFER REGISTERED NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINFER
Provider First Name:
CHRISTA
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DONATI
Provider Other First Name:
CHRISTA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
REGISTERED NURSE
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174266431
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
203 RUTH WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC DONALD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15057-2614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-339-3329
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4100 ALLEQUIPPA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-822-2222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/15/2022

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: 163WE0003X , with the licence number:  RN675793 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163W00000X , with the licence number: RN675793 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: RN675793 . This is a "REGISTERED NURSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".