Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP30002423 | WA |
N | 363L00000X | Nurse Practitioner | RN00080054 | WA |
NPI | 1013010461 |
---|---|
Provider Name | Cindy T Finke |
First Address | Fairchild, WA 99011 |
Second Address | Fairchild Afb, WA 99011-8704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 12/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0173244 | L & I (01) | WA |
806654900 | (05) | ID |
9609827 | (05) | WA |
R11378 | (02) |