Ms Heather Marie Funk, MS, RDN, LDN is a
Dietitian, Registered - Nutrition, Pediatric based in Mountain Home Afb, Idaho. Ms Heather Marie Funk is licensed to practice in Idaho (license number D-319) and her current practice location is
90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 828-7297.
NPI number for Ms Heather Marie Funk is 1346665189 and her current mailing address is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346665189.
Healthcare Provider's Profile
| Full Name | Ms Heather Marie Funk |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered - Nutrition, Pediatric |
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| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346665189
- Provider Enumeration Date: 03/04/2014
- Last Update Date: 02/27/2020
Medical Identifiers
Medical identifiers for Ms Heather Marie Funk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346665189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | D-319 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Heather Marie Funk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Heather Marie Funk, MS, RDN, LDN
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7297 | Ms Heather Marie Funk, MS, RDN, LDN
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7297 |
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