Funk, Nicole Marie

Funk, Nicole Marie is an individual health care provider with primary practice located at 875 S Vanguard Way , Meridian ID 83642-8540. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Funk, Nicole Marie can be contacted via phone (208) 463-3000.

Contact Information

Primary practice address
875 S Vanguard Way Meridian ID 83642-8540
Phone: (208) 463-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1843 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1843 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1843 Idaho

Profile Details

NPI number 1669002721
LBN Legal business name Funk, Nicole Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2020
Last updated Nov 1st, 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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