Provider Demographics
NPI:1659484186
Name:FINEGAN, EMILY (PA)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:FINEGAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:KRAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1590 NW 10TH AVE
Mailing Address - Street 2:SUITE #201
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1313
Mailing Address - Country:US
Mailing Address - Phone:561-368-2714
Mailing Address - Fax:561-368-9929
Practice Address - Street 1:1590 NW 10TH AVE
Practice Address - Street 2:SUITE #201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1313
Practice Address - Country:US
Practice Address - Phone:561-368-2714
Practice Address - Fax:561-368-9929
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ62738Medicare UPIN
FLU6889ZMedicare ID - Type Unspecified