Provider Demographics
NPI:1841898350
Name:FINNEGAN, CIERA JENNELL
Entity type:Individual
Prefix:
First Name:CIERA
Middle Name:JENNELL
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10487 COUNTY ROAD 4 LOT 43
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-9243
Mailing Address - Country:US
Mailing Address - Phone:419-764-3006
Mailing Address - Fax:
Practice Address - Street 1:10487 COUNTY ROAD 4 LOT 43
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:OH
Practice Address - Zip Code:43558-9243
Practice Address - Country:US
Practice Address - Phone:419-764-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant