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MS. ANGELA MICHELE FOUNTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
830 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 261-6700
Mailing address
830 KEMPSVILLE RD 2B223, NORFOLK, VA 23502-3920
(757) 261-8860
(757) 689-2420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172983
VA

Other

Enumeration date
09/15/2015
Last updated
11/09/2015
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