Basic Information
| Provider Information | |||||||||
| NPI: | 1104155407 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FINNERAN | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 LEATHERMAN RD | ||||||||
| Address2: | |||||||||
| City: | WADSWORTH | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442819236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303346229 | ||||||||
| FaxNumber: | 3303346110 | ||||||||
| Practice Location | |||||||||
| Address1: | 251 LEATHERMAN RD | ||||||||
| Address2: | |||||||||
| City: | WADSWORTH | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442819236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303346229 | ||||||||
| FaxNumber: | 3303346110 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2009 | ||||||||
| LastUpdateDate: | 10/06/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 2011015356 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 3022820 | 05 | OH | MEDICAID |