Individual
MRS. JULIE HORNBACH FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260
(317) 415-7924
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TC642
KY
363AM0700X
Medical Physician Assistant
Primary
10001379A
IN
363AM0700X
Medical Physician Assistant
TC642
KY
Other
Enumeration date
05/08/2012
Last updated
09/28/2018
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