Provider Demographics
NPI:1780647289
Name:FINELLI, JANIS C (CNP)
Entity Type:Individual
Prefix:MS
First Name:JANIS
Middle Name:C
Last Name:FINELLI
Suffix:
Gender:F
Credentials:CNP
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 547
Mailing Address - Street 2:ATT: CVMC FINANCE DEPT
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-371-5960
Mailing Address - Fax:802-371-5961
Practice Address - Street 1:130 FISHER RD STE 1-4
Practice Address - Street 2:CENTRAL VT WOMEN'S HEALTH
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9000
Practice Address - Country:US
Practice Address - Phone:802-371-5960
Practice Address - Fax:802-371-5961
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR40494363LW0102X
VA0024169395363LW0102X
MDAC001007363LW0102X
DCRN11021412363LW0102X
VT101-0017200363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1023770Medicaid
VT1023770Medicaid