Provider Demographics
NPI:1235123720
Name:FINLEY, CAROLINE J (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:J
Last Name:FINLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 E PARKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-2485
Mailing Address - Country:US
Mailing Address - Phone:480-502-9590
Mailing Address - Fax:
Practice Address - Street 1:5757 W THUNDERBIRD RD
Practice Address - Street 2:SUITE E 255
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4641
Practice Address - Country:US
Practice Address - Phone:602-843-1991
Practice Address - Fax:602-843-3224
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2823363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ807109Medicaid