Individual
MRS. NIKI MICHELLE FINCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 232-3625
Mailing address
680 WILEY PAGE RD, LONGVIEW, TX 75605-5928
(903) 736-5939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
690452
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
690452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211867101
—
TX
Enumeration date
11/13/2009
Last updated
07/29/2010
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