Provider Demographics
NPI:1730955105
Name:FUNCHES, DANYA ARIANNA (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANYA
Middle Name:ARIANNA
Last Name:FUNCHES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DANYA
Other - Middle Name:ARIANNA
Other - Last Name:FUNCHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APRN, FNP-BC
Mailing Address - Street 1:2123 119TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BLUE ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60406-1270
Mailing Address - Country:US
Mailing Address - Phone:872-301-5439
Mailing Address - Fax:
Practice Address - Street 1:45 W 111TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-4200
Practice Address - Country:US
Practice Address - Phone:773-995-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.028923363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily