Lesbye Odette Funtieo, APRN
Nurse Practitioner, Family in Homestead, FL. Individual provider (NPI-1).
NPI number1164067641
StatusActive
Last updated in NPPESNov 8, 2019
Details
- NPI
- 1164067641
- Entity type
- Individual (NPI-1)
- Name
- Lesbye Odette Funtieo
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2019
- Last updated
- Nov 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11004999 | FL | Yes |
Practice location
730 Se 34th AveHomestead, FL 33033-7641
Phone 305-587-0797
Mailing address
730 Se 34th AveHomestead, FL 33033-7641
Phone 305-587-0797
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