Individual
CAROLE KATHLEEN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
841 N SHENANDOAH AVE STE 3, FRONT ROYAL, VA 22630-3501
(540) 636-7000
Mailing address
841 N SHENANDOAH AVE STE 3, FRONT ROYAL, VA 22630-3501
(540) 636-7000
(540) 636-7029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170414
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024170414
VA LICENSE
VA
Enumeration date
10/11/2012
Last updated
07/18/2024
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