Individual ProviderStephanie FunderburkCase Manager/Care CoordinatorOther Service ProvidersPractice Address1201 Terminal Way Ste 217, Reno, NV 89502-3258(775) 624-8200PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Funderburk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1427683291Provider TypeIndividualFull NameFunderburk, StephanieGenderFemaleSole ProprietorNoEnumeration Date3/11/2020Last Updated3/11/2020Contact InformationPractice LocationPractice Address1201 Terminal Way Ste 217, Reno, NV 89502-3258Phone(775) 624-8200FaxUnlisted FaxMailing LocationMailing Address1201 Terminal Way Ste 217, Reno, NV 89502-3258Phone(775) 624-8200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer