Provider Demographics
NPI:1649049867
Name:FINN, CHRISTIE ROSE (RN)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:ROSE
Last Name:FINN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NORWICH AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-4019
Mailing Address - Country:US
Mailing Address - Phone:631-539-1533
Mailing Address - Fax:
Practice Address - Street 1:6 NORWICH AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-4019
Practice Address - Country:US
Practice Address - Phone:631-539-1533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY804860163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse