Provider Demographics
NPI:1740264001
Name:FINLAYSON, CAROL OSBORN (FNP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:OSBORN
Last Name:FINLAYSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11315 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-9396
Mailing Address - Country:US
Mailing Address - Phone:616-895-2000
Mailing Address - Fax:616-895-2009
Practice Address - Street 1:11315 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:MI
Practice Address - Zip Code:49401-9396
Practice Address - Country:US
Practice Address - Phone:616-895-2000
Practice Address - Fax:616-895-2009
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704117969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4682446Medicaid
MIS91165Medicare UPIN
MI0P08720002Medicare PIN