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Individual

MISS ALYSIA RENEE FUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
198 MORGANTOWN ST STE 2, BRUCETON MILLS, WV 26525-5003
(304) 379-7600
(833) 448-0362
Mailing address
198 MORGANTOWN ST STE 2, BRUCETON MILLS, WV 26525-5003
(304) 379-7600
(334) 488-0358

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
52464
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN52464
WV

Other

Enumeration date
09/19/2012
Last updated
07/24/2024
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