Individual
SHIRLEY M FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2105 CLEARY AVE, METAIRIE, LA 70001-1623
(866) 389-2727
Mailing address
2105 CLEARY AVE, METAIRIE, LA 70001-3704
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06700
LA
Other
Enumeration date
12/14/2011
Last updated
08/30/2017
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