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Individual

LEXINE FUNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
823 GEORGIANA STREET, PORT ANGELES, WA 98362-0146
(360) 457-4496
(360) 457-2181
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-9240
(360) 565-9241

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30006045
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9632621
WA
Enumeration date
07/08/2006
Last updated
07/08/2007
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