Provider Demographics
NPI:1437590858
Name:FUNK, CHRISTINA MARIE (DNP, FNP-C, APNP)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIE
Last Name:FUNK
Suffix:
Gender:F
Credentials:DNP, FNP-C, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 TARTAN PLACE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-7169
Mailing Address - Country:US
Mailing Address - Phone:612-208-3240
Mailing Address - Fax:608-856-8039
Practice Address - Street 1:6417 PENN AVE S, SUITE 7 #1208
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55423-1196
Practice Address - Country:US
Practice Address - Phone:612-208-3240
Practice Address - Fax:608-856-8039
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-14
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5341-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily