Provider Demographics
NPI:1609547488
Name:DIRKS-FINLEY, KRISTEN (NP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:DIRKS-FINLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:DIRKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5538 LONGLEY LN STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1897
Mailing Address - Country:US
Mailing Address - Phone:775-525-9353
Mailing Address - Fax:866-497-4252
Practice Address - Street 1:5538 LONGLEY LN STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1897
Practice Address - Country:US
Practice Address - Phone:775-525-9353
Practice Address - Fax:866-497-4252
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8579702081H0002X, 207RH0002X
WAAP61226691363L00000X
ID54159363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner