Individual
MIRANDA FONTEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R194537
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R194537
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN1056073
DC
Other
Enumeration date
07/10/2012
Last updated
03/27/2025
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