Provider Demographics
NPI:1790363810
Name:STEEDE FINLEY, BERTIE LORRAINE
Entity Type:Individual
Prefix:
First Name:BERTIE
Middle Name:LORRAINE
Last Name:STEEDE FINLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 E WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:TN
Mailing Address - Zip Code:38011-5738
Mailing Address - Country:US
Mailing Address - Phone:888-740-1216
Mailing Address - Fax:
Practice Address - Street 1:39 E WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:TN
Practice Address - Zip Code:38011-3801
Practice Address - Country:US
Practice Address - Phone:888-740-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN113815163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse