DR. NANNETTE SMITH FUNDERBURK PHD LCMHCS NPI 1720131576

NPI Information

NPI: 1720131576
Provider Name: DR. NANNETTE SMITH FUNDERBURK, PHD, LCMHCS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3300 BATTLEGROUND AVE STE 304
GREENSBORO, NC
ZIP 27410
Phone: (336) 285-7173
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DR. Nannette Smith Funderburk, PHD, LCMHCS is a mental health counselor in Greensboro, NC. DR. Nannette Smith Funderburk, PHD, LCMHCS NPI is 1720131576. 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:

3300 BATTLEGROUND AVE STE 304
GREENSBORO, NC
ZIP 27410-491
Phone: (336) 285-7173
Fax: (336) 285-7174

The NPI 1720131576 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.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 10/27/2023.

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	101YM0800X	Counselor	Mental Health	5348	NORTH CAROLINA	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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