Funkhouser, Lillian
Funkhouser, Lillian is an individual health care provider with primary practice located at 90 Health Park Dr Ste 160 , Louisville CO 80027-9742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Funkhouser, Lillian can be contacted via phone (303) 673-9030.Contact Information
Primary practice address
90 Health Park Dr Ste 160
Louisville CO 80027-9742
Phone: (303) 673-9030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.0994312-NP | Colorado |
Profile Details
| NPI number | 1174014948 |
|---|---|
| LBN Legal business name | Funkhouser, Lillian |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2018 |
| Last updated | Dec 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174014948 | NPPES |
| Colorado | Other | APN.0994312-NP | NURSE PRACTITIONER - APN |
| Colorado | Other | RN.1653383 | NURSE PRACTITIONER - APN |
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