Fallon Funderburk, BSN, RN, CNOR, RNFA

NPI 1386041150 · on the registry since 2014 · sole proprietor

Practice

Address: 1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone: (337) 769-4241
Fax: (337) 769-4249
Organisation at this address: Tc Neuro Llc
Lafayette Surgical Hospital Llc
Surgical Assistants Of Acadiana, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 163WR0006X
163WR0006X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana