person
Connie Marie Brunson, PA
Medical Physician Assistant in Baton Rouge, Louisiana
NPI 1841381647

Connie Marie Brunson is a Medical Physician Assistant based in Baton Rouge, LA and is specialized in Medical. Connie Marie Brunson practices in Baton Rouge, LA and has the professional credentials of PA. The NPI Number for Connie Marie Brunson is 1841381647 and holds a License No. PA.200104.RX (Louisiana).

The current practice location address for Connie Marie Brunson is 7777 Hennessy Blvd Ste 501B, Baton Rouge, LA and can be reached out via phone at 225-765-3456 and via fax at 225-765-1899. You can also correspond with Connie Marie Brunson through the mailing address at 7777 HENNESSY BLVD, BATON ROUGE, LA - 70808-4300 (mailing address contact number: 225-765-3456).

Location: 7777 Hennessy Blvd Ste 501B, Baton Rouge, LA, 70808-4300
person
Provider Profile Details
NPI Number
1841381647
Provider Name
Connie Marie Brunson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7777 Hennessy Blvd Ste 501B, Baton Rouge, LA, 70808-4300
Phone Number
225-765-3456
Fax Number
225-765-1899
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08623701 05 MS
1455261 05 LA
institution
Provider Business Practice Location Address Details
Address
7777 Hennessy Blvd Ste 501B
City
State
Zip
70808-4300
Phone Number
225-765-3456
Fax Number
225-765-1899
person
Provider Business Mailing Address Details
Address
7777 Hennessy Blvd Ste 501B
City
State
Zip
70808-4300
Phone Number
225-765-3456
Fax Number
225-765-1899
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.200104.RX (Louisiana)
Definition
Definition to come...
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