Basic Information
Provider Information
NPI: 1982136842
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINCHER
FirstName: DANIELLE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 765 KENILWORTH TER NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200191898
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber: 2023973059
Practice Location
Address1: 765 KENILWORTH TER NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200191898
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber: 2023973059
Other Information
ProviderEnumerationDate: 03/30/2017
LastUpdateDate: 08/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA161685CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XMD048417DCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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