Individual
MEACHELLE ELAINE-SHEPHARD FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
900 COOPER AVE STE 3100, SAGINAW, MI 48602-5182
(989) 583-7450
(989) 583-7452
Mailing address
900 COOPER AVE STE 3100, SAGINAW, MI 48602-5182
(989) 583-7450
(989) 583-7452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704199639
MI
363LF0000X
Family Nurse Practitioner
Primary
4704199639
MI
Other
Enumeration date
09/20/2014
Last updated
04/07/2015
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