Dawn Michelle Funk
Registered Nurse in Ravenna, OH. Individual provider (NPI-1).
NPI number1376225573
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1376225573
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dawn Michelle Funk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2023
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 342437 | OH | Yes |
Practice location
6751 N Chestnut StRavenna, OH 44266-3903
Phone 330-296-3641
Mailing address
34739 Leslie AveNorth Ridgeville, OH 44039-1746
Phone 440-821-0019
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 28 Registered Nurse providers in Ravenna · All 1,333 providers in Ravenna
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