Healthcare Provider Details

I. General information

NPI: 1689592990
Provider Name (Legal Business Name): ROBIN LYNN FUNK PMHNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST
YORK PA
17403-3676
US

IV. Provider business mailing address

163 PENN ST
HANOVER PA
17331-1929
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2345
  • Fax:
Mailing address:
  • Phone: 717-851-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN631521
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: