Individual provider · Type 1 NPI
Ebony Nicole Funches, DNP, FNP-C, AG-ACNP
Family Nurse Practitioner · Los Angeles, CA
NPI number
1639569247
Active
Practice location
200 Medical Plaza, Suite 140
Los Angeles, CA 90095-0001
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice locations
- 808 W 58th St, Los Angeles, CA 90037-3632 · (323) 541-1600
- 604 Rose Ave, Venice, CA 90291-2767 · (310) 392-8636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95002049 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639569247
Ebony Nicole Funches, DNP, FNP-C, AG-ACNP's National Provider Identifier is 1639569247, issued on Feb 3, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 26, 2026.