Most Relevant Information
Provider Data
| NPI Number: | 1003047804 |
| Provider Name: | CANDACE M FUNDERBURK CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 074290 |
Most Important Dates
| Enumeration Date: | 07/28/2009 |
| Last Updated: | 04/03/2015 |
Provider Practice Location
881 DESS RD
FLORIEN
LA
714294267
Practice Location Phone/Fax
| Phone: | 3185864621 |
| Fax: |
Provider Mailing Location
881 DESS RD
FLORIEN
LA
714294267
Provider Mailing Phone/Fax
| Phone: | 3185864621 |
| Fax: |