Candace M Funderburk
Nurse Anesthetist, Certified Registered in Florien, LA. Organization (NPI-2).
NPI number1003201211
StatusActive
Last updated in NPPESApr 3, 2015
Details
- NPI
- 1003201211
- Entity type
- Organization (NPI-2)
- Legal business name
- Candace M Funderburk
- Organization subpart
- No
- Enumeration date
- Apr 3, 2015
- Last updated
- Apr 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 074290 | LA | Yes |
Practice location
881 Dess RdFlorien, LA 71429-4267
Phone 318-508-2009
Mailing address
881 Dess RdFlorien, LA 71429-4267
Authorized official
Candace M Funderburk
Owner
3185082009
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Certified Registered Nurse Anesthetist providers in Florien, LA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.