Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia D Funderburk, PA

Individual provider Surgical Physician Assistant · NPI 1285310508

Alicia D Funderburk, PA is a Surgical Physician Assistant in Norwalk, Connecticut. Licensed in Connecticut. Registered with an NPI since 2023.

Licensed in
CT
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

34 Maple St
Norwalk, CT 06850-3894
Phone: (203) 852-2188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6321 (CT)

Record details

NPI number1285310508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESOctober 28, 2023
Certification dateOctober 28, 2023

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