Funk, Michelle Kelly

Funk, Michelle Kelly is an individual health care provider with primary practice located at 10521 Rosehaven St , Fairfax VA 22030-2876. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Funk, Michelle Kelly can be contacted via phone (703) 281-5000.

Contact Information

Primary practice address
10521 Rosehaven St Fairfax VA 22030-2876
Phone: (703) 281-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 0024181050 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024181050 Virginia

Profile Details

NPI number 1588259501
LBN Legal business name Funk, Michelle Kelly
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2021
Last updated Jun 19th, 2023 - about last year

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 1588259501 NPPES
Virginia Other 0024181050 LICENSE
Virginia MEDICAID 1588259501 LICENSE

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