Individual
KRISTYN MARIE FUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
601 S EDWIN C MOSES BLVD FL 4, DAYTON, OH 45417-3424
(937) 734-4310
Mailing address
4720 STRATHAVEN DR, DAYTON, OH 45424-4662
(937) 234-7789
(937) 442-5574
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029768
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045991
—
OH
Enumeration date
06/12/2019
Last updated
05/08/2025
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