Individual
ANNE M FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7974
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7974
WI
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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