IndividualActive
Alicia Funderburk, PA
NPI 1285310508 · Surgical Physician Assistant · Norwalk, CT
Provider details
- NPI number
- 1285310508
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 6321 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
34 Maple St
Norwalk, CT 06850-3894
Phone: (203) 852-2188
Approximate (ZIP-level) locationGet directions
Mailing address
34 Maple St
Norwalk, CT 06850-3894
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2023-10-28
- Certified
- 2023-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.