Theresa D Fontaine, NP

NPI #1639687437 in Ozark, Arkansas

Provider Information

NPI Number
1639687437
Entity Type
Individual
Name
Theresa D Fontaine, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jan 15, 2018
Last Updated
Jan 15, 2018

Practice Location

Address
201 S 7TH ST
City
Ozark
ZIP Code
72949-3131
Phone
(479) 667-1590

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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