Provider Demographics
NPI:1245619840
Name:FINCH, CASSANDRA (PA)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:FINCH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:617 E RIVERSIDE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-8720
Mailing Address - Country:US
Mailing Address - Phone:435-817-9749
Mailing Address - Fax:480-562-6606
Practice Address - Street 1:617 E RIVERSIDE DR STE 104
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8720
Practice Address - Country:US
Practice Address - Phone:435-817-9749
Practice Address - Fax:480-562-6606
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVPA3095363A00000X
AZ7454363A00000X
ORPA170134363A00000X
UT12751733-8906363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant