NPI 1063965192 · live from the CMS NPI Registry
Adrianne R Funmaker, APRN
Nurse Practitioner, Psych/Mental Health in Little Rock, AR. National Provider Identifier 1063965192, active.
NPI record
| NPI | 1063965192 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 11501 Huron Ln Ste 5, Little Rock, AR 72211 |
| Practice phone | 501-904-4762 |
| Enumerated | July 25, 2016 |
| Last updated | May 23, 2023 |
| Sole proprietor | No |
| Other names | Adrianne Phillips |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | A004844 (AR) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | A004844 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.