Provider Demographics
NPI:1033585047
Name:FINCHER, STACY
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:FINCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 HILL AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-1912
Mailing Address - Country:US
Mailing Address - Phone:412-627-2778
Mailing Address - Fax:
Practice Address - Street 1:718 HILL AVE APT 1
Practice Address - Street 2:
Practice Address - City:WILKINSBURG
Practice Address - State:PA
Practice Address - Zip Code:15221-1912
Practice Address - Country:US
Practice Address - Phone:412-627-2778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN105012L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse