Provider Demographics
NPI:1518367077
Name:FINNEY, KATRINA RENEE (CNA)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:RENEE
Last Name:FINNEY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 HUDSON AVE
Mailing Address - Street 2:CAYCE
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-4213
Mailing Address - Country:US
Mailing Address - Phone:803-708-0365
Mailing Address - Fax:
Practice Address - Street 1:437 HUDSON AVE
Practice Address - Street 2:CAYCE
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-4213
Practice Address - Country:US
Practice Address - Phone:803-708-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X, 374U00000X
SC164496E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376K00000XNursing Service Related ProvidersNurse's Aide