MR. Brian Kenneth Fontaine, CRNA
NPI #1861584005 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1861584005
- Entity Type
- Individual
- Name
- MR. Brian Kenneth Fontaine, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- 62 AMARAL ST STE 100
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-2205
- Phone
- (352) 275-2064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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