Provider Demographics
NPI:1568410074
Name:FINEHIRSH, MARIAN A (APRN-C)
Entity Type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:A
Last Name:FINEHIRSH
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 MORTON PLANT ST STE 402
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3395
Mailing Address - Country:US
Mailing Address - Phone:727-461-8635
Mailing Address - Fax:727-461-8648
Practice Address - Street 1:430 MORTON PLANT ST STE 402
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3395
Practice Address - Country:US
Practice Address - Phone:727-461-8635
Practice Address - Fax:727-333-6038
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3385332363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110430100Medicaid
FLP00329659OtherRAILROAD MEDICARE NUMBER
FLU7755YMedicare PIN
FLP00329659OtherRAILROAD MEDICARE NUMBER
FL306539100Medicaid