Provider Demographics
NPI:1578805297
Name:FINNEGAN, VICTORIA (CRNP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:MAFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3600 ROUTE 66 FL 3
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2645
Mailing Address - Country:US
Mailing Address - Phone:328-070-8777
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:100 COMMONS WAY STE 140
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-2935
Practice Address - Country:US
Practice Address - Phone:732-450-2925
Practice Address - Fax:732-450-2942
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012709363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health