# FUNCTIONAL MEDICINE PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861374027
- **Authorized official:** CAROL WHITE NP (NP/OWNER)
- **Authorized official phone:** (574) 527-0141

## Contact information

- **Practice address:** 602 S HUNTINGTON ST, SYRACUSE, IN 46567-1807
- **Practice address phone:** (574) 527-0141
- **Practice address fax:** (574) 821-7026
- **Mailing address:** PO BOX 23, SYRACUSE, IN 46567-0023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2025
- **Last updated:** 08/11/2025