Individual
MRS. ANDREA C. FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1505 E CHURCHVILLE RD, BEL AIR, MD 21014-4742
(410) 420-6970
(410) 420-6650
Mailing address
2641 CLETUS DR, MANCHESTER, MD 21102-1998
(443) 768-7470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R176837
MD
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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