Provider Demographics
NPI:1609964014
Name:FINKBEINER, LORRAINE STAMPLE (CPNP)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:STAMPLE
Last Name:FINKBEINER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 VERANO CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456
Mailing Address - Country:US
Mailing Address - Phone:757-426-1088
Mailing Address - Fax:
Practice Address - Street 1:830 SOUTHAMPTON AVE
Practice Address - Street 2:TIDEWATER CHILD DEVELOPMENT CLINIC
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510
Practice Address - Country:US
Practice Address - Phone:757-683-8770
Practice Address - Fax:757-683-9211
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024000061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner