Funderburk, Fallon

Funderburk, Fallon is an sole proprietor health care provider with primary practice located at 1101 Kaliste Saloom Rd , Lafayette LA 70508-5705. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Funderburk, Fallon can be contacted via phone (337) 769-4241.

Contact Information

Primary practice address
1101 Kaliste Saloom Rd Lafayette LA 70508-5705
Phone: (337) 769-4241
Fax: (337) 769-4249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN105855 Louisiana

Profile Details

NPI number 1386041150
LBN Legal business name Funderburk, Fallon
Credentials BSN, RN, CNOR, RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2014
Last updated Aug 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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