| Doctor Name: | HEATHER N FUNDERBURK |
| NPI Number: | 1033577234 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | A004630 |
| Business Practice Address: | 320 Luzerne St Mount Ida, AR - 719579437 |
| Business Phone Number: | 8708672175 |
| Business Fax Number: | 8708674050 |
| Mailing Address: | Po Box 21850, HOT SPRINGS |
| State: | AR |
| Postal Code: | 719031850 |
| Phone Number: | 8708672175 |
| Fax Number: | 8708674050 |
| NPI Enumeration Date: | 02/02/2016 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A004630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |