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MRS. ALYSSA UNDERWOOD BRUNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
110 MOUNTAINSIDE DR, LAFAYETTE, LA 70503-4628

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN156984
LA
363L00000X
Nurse Practitioner
Primary
236243
LA

Other

Enumeration date
04/16/2024
Last updated
01/21/2026
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