Individual
COURTNEY L FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 5TH AVE STE B, HAVRE, MT 59501-4015
(406) 201-5193
(406) 403-0281
Mailing address
84 20TH ST, HAVRE, MT 59501-5260
(406) 899-1614
(406) 403-0281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-132723
MT
363LP2300X
Primary Care Nurse Practitioner
Primary
NUR-APRN-LIC-132723
MT
Other
Enumeration date
04/20/2019
Last updated
04/14/2026
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