| NPI | 1558816751 |
|---|---|
| Former Name | TESSA E. FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008554A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014699) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008554A) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-08-09 |