Provider Demographics
NPI:1639214166
Name:FINNIGAN, VALERIE MARIE (RN, PHN)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:MARIE
Last Name:FINNIGAN
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 550231
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96155-0004
Mailing Address - Country:US
Mailing Address - Phone:530-573-3177
Mailing Address - Fax:530-543-6819
Practice Address - Street 1:1360 JOHNSON BLVD
Practice Address - Street 2:#103
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-8220
Practice Address - Country:US
Practice Address - Phone:530-573-3177
Practice Address - Fax:530-543-6819
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA352579364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health