Individual
SUSAN HEINZ FUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1165 IMPERIAL DRIVE, SUITE 300, HAGERSTOWN, MD 21740
(301) 665-9098
(301) 665-9096
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R144314
MD
Other
Enumeration date
05/30/2006
Last updated
05/24/2021
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