NPI 1003797812

Nicole Funches

Practitioner Driver Florissant, MO

Practice location

Address: 4061 Portland Ridge Dr, Florissant, MO 63034-2451
Phone: (314) 750-2241

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence LC014523627 (MO)

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Registry record

NPI: 1003797812
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2025
Record last updated: 16 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.