Provider Demographics
NPI:1275729329
Name:GAERLAN-FINCH, VINESSA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:VINESSA
Middle Name:
Last Name:GAERLAN-FINCH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:VINESSA
Other - Middle Name:
Other - Last Name:GAERLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:29982 IVY GLENN DR STE 203
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2097
Mailing Address - Country:US
Mailing Address - Phone:949-309-7903
Mailing Address - Fax:
Practice Address - Street 1:29982 IVY GLENN DR STE 203
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2097
Practice Address - Country:US
Practice Address - Phone:949-309-7903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-22
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32841225100000X
CA95024757363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist