Provider Demographics
NPI:1407806706
Name:FINLAYSON, ANGELA F (NP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:F
Last Name:FINLAYSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 BOWMAN RD # B
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3235
Mailing Address - Country:US
Mailing Address - Phone:843-856-9530
Mailing Address - Fax:843-971-1345
Practice Address - Street 1:913 BOWMAN RD # B
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3235
Practice Address - Country:US
Practice Address - Phone:843-856-9530
Practice Address - Fax:843-971-1345
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2303363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1659311165OtherBONNEAU NPI SITE #
SCP00982304OtherRR MEDICARE
SCNP0750Medicaid
SCP00829252OtherRR MEDICARE
SCNP0750Medicaid
SCP00829252OtherRR MEDICARE
SC1659311165OtherBONNEAU NPI SITE #
SCP085827555Medicare PIN