Funk, Susan L

Funk, Susan L is an individual health care provider with primary practice located at 65 International Dr , Greenville SC 29615-4816. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Funk, Susan L can be contacted via phone (864) 987-7000.

Contact Information

Primary practice address
65 International Dr Greenville SC 29615-4816
Phone: (864) 987-7000
Fax: (864) 672-7852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN2326 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2326 South Carolina

Profile Details

NPI number 1033114087
LBN Legal business name Funk, Susan L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 30th, 2021 - about 4 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 1033114087 NPPES
South Carolina MEDICAID NP0244

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