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Contact Information

HEATHER M FUNK, MS, RDN, LDN
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID83648-1062
 Phone: 208-828-7297
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for HEATHER M FUNK · (Female)

NPI Number 1346665189
Status Active
Credentials MS, RDN, LDN
Entity Individual
Enumeration date 03/04/2014
Last updated 02/27/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D-319
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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