Search › Idaho › 363AS0400X
Nicole Funk, PA-C
NPI 1669002721 · on the registry since 2020
Practice
- Address
- 901 N Curtis Rd Ste 304
Boise, ID 83706 - Phone
- (208) 342-4263
- Fax
- (208) 375-0597
- Organisation at this address
- Karin Lindholm, D.O.
Michael Obrien Md Pa
Idaho Neurology Pllc
Idaho Hand Center, Pa
Pacific Medical, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 110
Additional practice sites
- 215 E Hawaii Ave, Nampa, ID
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho