Provider Demographics
NPI:1962854356
Name:FUNEZ, MARIA D (CNA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:D
Last Name:FUNEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 SUMMIT TRAIL CIR
Mailing Address - Street 2:APT B
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-4862
Mailing Address - Country:US
Mailing Address - Phone:561-856-6841
Mailing Address - Fax:
Practice Address - Street 1:1128 SUMMIT TRAIL CIR APT B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-4862
Practice Address - Country:US
Practice Address - Phone:561-856-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL298163376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide