Provider Demographics
NPI:1265774012
Name:FINCHER, INGRID ELIZABETH (NP)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:ELIZABETH
Last Name:FINCHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:INGRID
Other - Middle Name:ELIZABETH
Other - Last Name:ROSADINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10976 BUCKLEY HALL RD
Practice Address - Street 2:
Practice Address - City:MATHEWS
Practice Address - State:VA
Practice Address - Zip Code:23109
Practice Address - Country:US
Practice Address - Phone:804-725-5005
Practice Address - Fax:804-725-3204
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170657363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP01170191Medicare PIN
VA1265774012Medicaid
VAVV9220AMedicare PIN