Provider Demographics
NPI:1942575329
Name:FINLEY, MARI J
Entity Type:Individual
Prefix:
First Name:MARI
Middle Name:J
Last Name:FINLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARI
Other - Middle Name:J
Other - Last Name:FINLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN ANP-BC
Mailing Address - Street 1:4503 ANGLIN CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-4205
Mailing Address - Country:US
Mailing Address - Phone:817-689-8691
Mailing Address - Fax:
Practice Address - Street 1:4503 ANGLIN CIR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-4205
Practice Address - Country:US
Practice Address - Phone:817-689-8691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-18
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX443653363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health