Provider Demographics
NPI:1609436948
Name:FINCH, TAMEKA (RN)
Entity Type:Individual
Prefix:
First Name:TAMEKA
Middle Name:
Last Name:FINCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 SAW PALMETTO PL APT 306
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-2863
Mailing Address - Country:US
Mailing Address - Phone:704-930-9642
Mailing Address - Fax:
Practice Address - Street 1:2221 SAW PALMETTO PL APT 306
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-2863
Practice Address - Country:US
Practice Address - Phone:704-930-9642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9440604163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency