Funderburk, Teneika Clifton

Funderburk, Teneika Clifton is an individual health care provider with primary practice located at 6033 Florence Ave Ste 200 , Charlotte NC 28212. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Funderburk, Teneika Clifton can be contacted via phone (980) 430-5055.

Contact Information

Primary practice address
6033 Florence Ave Ste 200 Charlotte NC 28212
Phone: (980) 430-5055
Fax: (704) 749-8652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X HC3403 North Carolina
Nursing Service Related Providers / Nurse's Aide 376K00000X 329836 North Carolina
Nursing Service Related Providers / Personal Care Attendant 3747P1801X HC3403 North Carolina

Profile Details

NPI number 1770781098
LBN Legal business name Funderburk, Teneika Clifton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2007
Last updated Jan 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770781098 NPPES
North Carolina MEDICAID 6601520

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