Provider Demographics
NPI:1992133656
Name:FINKLEA, NICOLE ELAN
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:ELAN
Last Name:FINKLEA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 94762
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-4762
Mailing Address - Country:US
Mailing Address - Phone:702-807-3614
Mailing Address - Fax:
Practice Address - Street 1:8610 S MARYLAND PKWY
Practice Address - Street 2:1034
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2709
Practice Address - Country:US
Practice Address - Phone:702-807-3614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst