Provider Demographics
NPI:1053181990
Name:ARIAS FUNEZ, NANCY REBECA (FAMILY NP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:REBECA
Last Name:ARIAS FUNEZ
Suffix:
Gender:F
Credentials:FAMILY NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 CHARLTON RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1671
Mailing Address - Country:US
Mailing Address - Phone:183-222-9372
Mailing Address - Fax:
Practice Address - Street 1:5511 CHARLTON RIDGE LN
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1671
Practice Address - Country:US
Practice Address - Phone:183-222-9372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF12230009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty