Individual
DEBRA FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
850 ENTERPRISE PKWY, SUITE # 1000, HAMPTON, VA 23666
(757) 594-2000
(757) 594-3005
Mailing address
3998 FAIR RIDGE DR, SUITE # 300, FAIRFAX, VA 22033
(703) 766-9737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
49062
TN
367500000X
Certified Registered Nurse Anesthetist
ARNP9255984
FL
Other
Enumeration date
06/23/2006
Last updated
03/31/2015
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