Provider Demographics
NPI:1255579694
Name:FINNEY, ROXANNE MARIE (LPN)
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:MARIE
Last Name:FINNEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2547 W WALWORTH RD
Mailing Address - Street 2:
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502-9135
Mailing Address - Country:US
Mailing Address - Phone:585-298-8498
Mailing Address - Fax:
Practice Address - Street 1:2547 W WALWORTH RD
Practice Address - Street 2:
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502-9135
Practice Address - Country:US
Practice Address - Phone:585-298-8498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249932-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse