Basic Information
Provider Information
NPI: 1235692443
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINLEY
FirstName: ANDREW
MiddleName: MICHAEL
NamePrefix:  
NameSuffix:  
Credential: APRN-CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1705 E 19TH ST STE 302
Address2:  
City: TULSA
State: OK
PostalCode: 741045410
CountryCode: US
TelephoneNumber: 9187487585
FaxNumber: 9184036352
Practice Location
Address1: 1705 E 19TH ST STE 302
Address2:  
City: TULSA
State: OK
PostalCode: 741045410
CountryCode: US
TelephoneNumber: 9187487585
FaxNumber: 9184036352
Other Information
ProviderEnumerationDate: 04/13/2019
LastUpdateDate: 10/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600X109952OKN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LS0200X109954OKN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool
363LA2100X109952OKY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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