Funk, Mary

Funk, Mary is an individual health care provider with primary practice located at 859 Mankato Ave Winona Clinic, Winona MN 55987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Funk, Mary can be contacted via phone (507) 457-7667.

Contact Information

Primary practice address
859 Mankato Ave Winona Clinic Winona MN 55987
Phone: (507) 457-7667
Fax: (507) 457-7704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0972002 Minnesota

Profile Details

NPI number 1780645994
LBN Legal business name Funk, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Apr 22nd, 2008 - about 17 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 1780645994 NPPES
Minnesota MEDICAID 103827300

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