Provider Demographics
NPI:1184078677
Name:FINCH, KRISTA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:FINCH
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 LONDON AVE STE 1100B
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-8036
Mailing Address - Country:US
Mailing Address - Phone:937-642-2053
Mailing Address - Fax:937-642-9725
Practice Address - Street 1:940 LONDON AVE STE 1100B
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-8036
Practice Address - Country:US
Practice Address - Phone:937-642-2053
Practice Address - Fax:937-642-9725
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0164614Medicaid