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DR. EBONY NICOLE FUNCHES DNP FNP-C AG-ACNP NPI 1639569247


NPI Information

NPI: 1639569247
Provider Name: DR. EBONY NICOLE FUNCHES, DNP, FNP-C, AG-ACNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
604 ROSE AVE
VENICE, CA
ZIP 90291
Phone: (310) 392-8636
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DR. Ebony Nicole Funches, DNP, FNP-C, AG-ACNP is a family nurse practitioner in Venice, CA with 10 years of experience. DR. Ebony Nicole Funches, DNP, FNP-C, AG-ACNP NPI is 1639569247. 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:

604 ROSE AVE
VENICE, CA
ZIP 90291-767
Phone: (310) 392-8636
Fax: (310) 392-6642

The NPI 1639569247 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 2/3/2015 and was last updated on 2/16/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily95002049CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.