MELINDA LOUISE FUNK FNP NPI 1679560346

NPI Information

NPI: 1679560346
Provider Name: MELINDA LOUISE FUNK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
742 W HIGHLAND AVE
SAN BERNARDINO, CA
ZIP 92405
Phone: (909) 881-7320
Get Directions

Melinda Louise Funk, FNP is a family nurse practitioner in San Bernardino, CA. Melinda Louise Funk, FNP NPI is 1679560346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

742 W HIGHLAND AVE
SAN BERNARDINO, CA
ZIP 92405-839
Phone: (909) 881-7320
Fax: (909) 881-7330

The NPI 1679560346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2005 and was last updated on 4/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	11402	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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