Individual
KRISTYN Q WUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP & AGACNP
Contact information
Practice address
1101 S COLLEGE RD STE 201, LAFAYETTE, LA 70503-3038
(337) 264-7209
Mailing address
1101 S COLLEGE RD STE 201, LAFAYETTE, LA 70503-3038
(337) 264-7209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP09602
LA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP09602
LA
Other
Enumeration date
10/08/2017
Last updated
07/01/2020
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