Individual
PATRICIA J FUNKHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
63919
ID
Other
Enumeration date
05/06/2020
Last updated
07/22/2020
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