Individual
ADAM FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 789-9103
(603) 227-7832
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 789-9103
(603) 227-7832
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0765223
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076562-21
RN LICENSE
NH
Enumeration date
11/20/2017
Last updated
12/13/2023
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