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Individual
NINA FONTENEAUX
Active
Individual
NINA FONTENEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP131805
TX
363LF0000X
Family Nurse Practitioner
Primary
AP131805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-5300786
TAX ID
TX
Enumeration date
12/07/2016
Last updated
07/18/2024
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