Individual
MRS. SUSAN BETH FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
750 5TH AVE E, UA STUDENT HEALTH CENTER, TUSCALOOSA, AL 35401-7421
(205) 348-6262
(205) 648-8611
Mailing address
750 5TH AVE E, UA STUDENT HEALTH CENTER, TUSCALOOSA, AL 35401-7421
(205) 348-6262
(205) 648-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-048688
AL
Other
Enumeration date
05/09/2008
Last updated
11/16/2020
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