Individual
ANGELA L FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6433 S CLARK DR, TEMPE, AZ 85283-3308
(480) 414-1295
Mailing address
6433 S CLARK DR, TEMPE, AZ 85283-3308
(480) 414-1295
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0926
AZ
Other
Enumeration date
05/02/2013
Last updated
07/22/2019
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