Provider Demographics
NPI:1013104926
Name:FINAMORE, MICHELLE RUTH (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:RUTH
Last Name:FINAMORE
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:RUTH
Other - Last Name:LUIZZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, BC
Mailing Address - Street 1:PO BOX 95000 LB# 7550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:500 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1409
Practice Address - Country:US
Practice Address - Phone:908-338-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN106114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily