Provider Demographics
NPI:1366830556
Name:FINKLE, BETH MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:MARIE
Last Name:FINKLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844
Mailing Address - Street 2:
Mailing Address - City:PHILMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12565-0844
Mailing Address - Country:US
Mailing Address - Phone:518-821-7345
Mailing Address - Fax:
Practice Address - Street 1:7 ELLSWORTH STREET #3E
Practice Address - Street 2:
Practice Address - City:PHILMONT
Practice Address - State:NY
Practice Address - Zip Code:12565-0844
Practice Address - Country:US
Practice Address - Phone:518-821-7345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31161164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse