Provider Demographics
NPI:1518095272
Name:FINNEGAN, DONNA JEAN (APRN,BC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JEAN
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1356
Mailing Address - Street 2:755 N OLD COACH RD
Mailing Address - City:DEWEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86327-1356
Mailing Address - Country:US
Mailing Address - Phone:928-632-1420
Mailing Address - Fax:602-476-2453
Practice Address - Street 1:HC76 HWY 89A N JCT 151
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314
Practice Address - Country:US
Practice Address - Phone:602-435-2000
Practice Address - Fax:602-476-2453
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP2604363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner