Individual
EMILY MAE FUNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-6206
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-1662
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.180341.MEDS-IV
OH
171M00000X
Case Manager/Care Coordinator
LPN180341MEDSIV
OH
Other
Enumeration date
12/14/2021
Last updated
03/11/2024
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