Individual
ADAM FOUNTAIN
Active
Individual
ADAM FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
Update your record
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