Provider Demographics
NPI:1013711076
Name:FUNK, VERA MARIE
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:MARIE
Last Name:FUNK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 IVYDALE ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2638
Mailing Address - Country:US
Mailing Address - Phone:248-595-2181
Mailing Address - Fax:
Practice Address - Street 1:2806 IVYDALE ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-2638
Practice Address - Country:US
Practice Address - Phone:248-595-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program