Provider Demographics
NPI:1588125850
Name:FINZAR, NANCY ANGELO (RN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANGELO
Last Name:FINZAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 STANFORD RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-6546
Mailing Address - Country:US
Mailing Address - Phone:941-321-8576
Mailing Address - Fax:
Practice Address - Street 1:131 STANFORD RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-6546
Practice Address - Country:US
Practice Address - Phone:941-321-8576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9168656163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9168656OtherFL DIVISION OF MEDICAL QUALITY ASSURANCE