Provider Demographics
NPI:1093570764
Name:FINEMAN, TAYLOR MAUREEN
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:MAUREEN
Last Name:FINEMAN
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 1:6140 COLT PL UNIT 104
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-1805
Mailing Address - Country:US
Mailing Address - Phone:217-799-9333
Mailing Address - Fax:
Practice Address - Street 1:5530 OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1260
Practice Address - Country:US
Practice Address - Phone:619-236-2191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95206802163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse