Individual
STEPHANIE FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1850 SAM RITTENBERG BLVD STE B, CHARLESTON, SC 29407-4936
(843) 793-6093
Mailing address
234 WALNUT GROVE COURT, MYRTLE BEACH, SC 29577
(203) 444-1503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30876
SC
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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