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Mrs. Michelle Kelly Funk, WHNP-BC
Women's Health Nurse Practitioner in Fairfax, Virginia
NPI 1588259501

Michelle Kelly Funk is a Women's Health Nurse Practitioner based in Fulton, VA and is specialized in Women's Health. Michelle Kelly Funk practices in Fairfax, VA and has the professional credentials of WHNP-BC. The NPI Number for Michelle Kelly Funk is 1588259501 and holds a License No. 0024181050 (Virginia).

The current practice location address for Michelle Kelly Funk is 10521 Rosehaven St, Fairfax, VA and can be reached out via phone at 703-281-5000.

Location: 10521 Rosehaven St, Fairfax, VA, 20759-2694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588259501
Provider Name
Michelle Kelly Funk
Credential
WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
10521 Rosehaven St, Fairfax, VA, 20759-2694
Phone Number
703-281-5000
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024181050 01 VA LICENSE
1588259501 05 VA
institution
Provider Business Practice Location Address Details
Address
10521 Rosehaven St
City
Fairfax
State
Virginia
Zip
22030-2876
Phone Number
703-281-5000
Fax Number
person
Provider Business Mailing Address Details
Address
10521 Rosehaven St
City
Fairfax
State
Virginia
Zip
22030-2876
Phone Number
703-281-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
0024181050 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
0024181050 (Virginia)
Definition
Definition to come...
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