Individual provider · Type 1 NPI

Connie Marie Brunson, PA

Medical Physician Assistant · Baton Rouge, LA

NPI number 1841381647 Active

Practice location

7777 Hennessy Blvd Ste 501B
Baton Rouge, LA 70808-4300

Fax (225) 765-1899

Mailing address

7777 Hennessy Blvd, Suite 406
Baton Rouge, LA 70808-4300

Other practice locations

  • 8200 Constantin Blvd Fl 3, Baton Rouge, LA 70809-3481 · (225) 765-5500

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.200104.RX (LA)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1841381647

Connie Marie Brunson, PA's National Provider Identifier is 1841381647, issued on Sep 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baton Rouge, LA. The record was last updated on Jan 26, 2021.