Individual
AMBER FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(667) 260-2733
Mailing address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(667) 260-2733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R238142
MD
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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