Basic Information
Provider Information
NPI: 1316129224
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINN
FirstName: MORGAN
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 223 MYRTLE DR
Address2:  
City: POTTSVILLE
State: AR
PostalCode: 728588732
CountryCode: US
TelephoneNumber: 5016865339
FaxNumber:  
Practice Location
Address1: 4301 W MARKHAM ST
Address2: SLOT #720
City: LITTLE ROCK
State: AR
PostalCode: 722057101
CountryCode: US
TelephoneNumber: 5016868711
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/03/2007
LastUpdateDate: 12/03/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XR78139ARY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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