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Individual

CHRISTINA MARIE FINNERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2470 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 715-9990
(877) 828-6821
Mailing address
2470 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 715-9990
(877) 828-6821

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP631A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807108000
ID
Enumeration date
11/07/2006
Last updated
03/31/2021
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