SUSAN L FUNK NP NPI 1033114087

NPI Information

Susan L Funk, NP is an acute care nurse practitioner in Greenville, SC with 29 years of experience. Susan L Funk, NP NPI is 1033114087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

65 INTERNATIONAL DR
GREENVILLE, SC
ZIP 29615-816
Phone: (864) 987-7000
Fax: (864) 672-7852

The NPI 1033114087 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 6/16/2005 and was last updated on 6/30/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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