Provider Demographics
NPI:1568246130
Name:FUNK, ERIN (NBC-HWC, FMCHC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FUNK
Suffix:
Gender:F
Credentials:NBC-HWC, FMCHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 MERIDIAN DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-3836
Mailing Address - Country:US
Mailing Address - Phone:719-510-8347
Mailing Address - Fax:
Practice Address - Street 1:2524 MERIDIAN DR
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-3836
Practice Address - Country:US
Practice Address - Phone:719-510-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach