Basic Information
Provider Information
NPI: 1437271103
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINN
FirstName: DENNIS
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 125 CARL DR APT 45
Address2:  
City: HOT SPRINGS
State: AR
PostalCode: 719136262
CountryCode: US
TelephoneNumber: 5016204805
FaxNumber:  
Practice Location
Address1: 106 RIDGEWAY ST
Address2: SUITE G & H
City: HOT SPRINGS
State: AR
PostalCode: 719017100
CountryCode: US
TelephoneNumber: 5016090400
FaxNumber: 5016090166
Other Information
ProviderEnumerationDate: 04/04/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0808XR35082ARY Nursing Service ProvidersRegistered NursePsych/Mental Health

No ID Information.


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