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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. FALLON FUNDERBURK, BSN, RN, CNOR, RNFA

Active Sole Proprietor

MRS. FALLON FUNDERBURK, BSN, RN, CNOR, RNFA is a Registered Nurse First Assistant healthcare provider located in LAFAYETTE, Louisiana. NPI 1386041150 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse First Assistant · LAFAYETTE, LA

Registration Details

NPI Number
1386041150
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2014 (11.68664277489 yrs)
Last Updated
Aug 1, 2017
License
RN105855 (LA)
Sole Proprietor
Yes

Practice Information

Address
1101 KALISTE SALOOM RD
LAFAYETTE, LA, 705085705
Browse LA providers · Browse ZIP 70508
Phone
3377694241
Fax
3377694249
Primary Specialty
Registered Nurse First Assistant
163WR0006X

Other Registered Nurse First Assistant Providers in LAFAYETTE, LA

Name Credential NPI
ADRIANA ACEVEDO RNFA 1033644687
SHELLEY KAYE NORRIS RNFA 1508739590
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.