Provider Demographics
NPI:1366183212
Name:FINCH, DEBORA (MSN, FNP)
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:
Last Name:FINCH
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:DEBBY
Other - Middle Name:
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4731 S WHITE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901-8079
Mailing Address - Country:US
Mailing Address - Phone:928-267-4761
Mailing Address - Fax:928-304-7869
Practice Address - Street 1:4731 S WHITE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-8079
Practice Address - Country:US
Practice Address - Phone:928-267-4761
Practice Address - Fax:928-304-7869
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN174189163WD0400X
AZ281660363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator