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Contact Information

FALLON FUNDERBURK, BSN, RN, CNOR, RNFA
1101 KALISTE SALOOM RD
LAFAYETTE, LA70508-5705
 Phone: 337-769-4241
 Fax: 337-769-4249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for FALLON FUNDERBURK · (Female)

NPI # 1386041150
Status Active
Credentials BSN, RN, CNOR, RNFA
Entity Individual
Enumeration date 11/22/2014
Last updated 08/01/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # RN105855
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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