Provider Demographics
NPI:1063456739
Name:FINLEY, LISA A (CNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:FINLEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-9000
Mailing Address - Fax:612-262-9035
Practice Address - Street 1:255 SMITH AVE N STE 100
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2518
Practice Address - Country:US
Practice Address - Phone:651-241-7246
Practice Address - Fax:651-241-7272
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN3520363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2036053000Medicaid
P84657Medicare UPIN
MN50002328Medicare ID - Type Unspecified