Provider Demographics
NPI:1437590858
Name:FUNK, CHRISTINA MARIE (FNP-C, APNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:FUNK
Suffix:
Gender:F
Credentials:FNP-C, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 MALL DR
Mailing Address - Street 2:#5
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-6879
Mailing Address - Country:US
Mailing Address - Phone:715-838-6070
Mailing Address - Fax:
Practice Address - Street 1:2839 MALL DR
Practice Address - Street 2:#5
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-6879
Practice Address - Country:US
Practice Address - Phone:715-838-6070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-14
Last Update Date:2013-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5341-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily