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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MARIE FUNK, PA-C

Active

NICOLE MARIE FUNK, PA-C is a Surgical Physician Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1669002721 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · MERIDIAN, ID

Registration Details

NPI Number
1669002721
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2020 (6.59724331037 yrs)
Last Updated
Nov 1, 2023
Licenses
PA-1843 (CA)
PA-1843 (ID)
PA-1843 (ID)

Practice Information

Address
875 S VANGUARD WAY
MERIDIAN, ID, 836428540
Browse ID providers · Browse ZIP 83642
Phone
2084633000
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in MERIDIAN, ID

Name Credential NPI
CLAIRE MAGNOLO PA-C 1003869355
MR. WILLIAM B CURTIS O.P.A.-C 1093853871
MRS. SHANNON L GARDINER PA 1689701260
MR. TRACY D. MICKELSEN CSFA 1801073655
TRACEY REEVE PA-C 1174789994
DON H CURTIS CSFA 1982937066
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.