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MARY FUNDARO LPN
NPI 1215354071
Licensed Practical Nurse in Royal Oak, MI

Active since March 18, 2014
4345 CROOKS RD, UNIT 4, ROYAL OAK, MI 48073(586) 980-1148 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Fundaro Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY FUNDARO LPN (NPI 1215354071) is an individual licensed practical nurse in Royal Oak, Michigan, licensed in Michigan (4703110598) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1215354071
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY FUNDAROCredential: LPN
Location Address4345 CROOKS RD, UNIT 4Royal Oak, MI 48073-1971
Mailing Address4345 Crooks Rd, Unit 4Royal Oak, MI 48073-1971 · (586) 980-1148
Phone(586) 980-1148
Sole ProprietorYes
Enumeration DateMarch 18, 2014
✔ NPI 1215354071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703110598
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4345 CROOKS RD, Royal Oak, MI 48073
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Fundaro's NPI number?

The NPI number for Mary Fundaro is 1215354071. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Where is Mary Fundaro located?

Mary Fundaro practices at 4345 Crooks Rd Unit 4, Royal Oak, MI 48073. The listed phone number is (586) 980-1148.

What is Mary Fundaro's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Fundaro was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.