Provider Demographics
NPI:1053296624
Name:FUNK, HAYLEY S (QBHP)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:S
Last Name:FUNK
Suffix:
Gender:F
Credentials:QBHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 PHYLLIS ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-6490
Mailing Address - Country:US
Mailing Address - Phone:479-725-6000
Mailing Address - Fax:
Practice Address - Street 1:2205 PHYLLIS ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6490
Practice Address - Country:US
Practice Address - Phone:479-725-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator