Provider Demographics
NPI:1821231630
Name:FINCH, SELENA D (CNP)
Entity Type:Individual
Prefix:MS
First Name:SELENA
Middle Name:D
Last Name:FINCH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:SELENA
Other - Middle Name:DIANE
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:40 JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2067
Mailing Address - Country:US
Mailing Address - Phone:216-326-6979
Mailing Address - Fax:
Practice Address - Street 1:10701 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1702
Practice Address - Country:US
Practice Address - Phone:216-333-8139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN343668163W00000X
OHAG01180189363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse