Individual
JOYCE FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD NP
Contact information
Practice address
549 KING MOUNTAIN RD, DURANGO, CO 81303-6498
(970) 375-7100
Mailing address
549 KING MOUNTAIN RD, DURANGO, CO 81303-6498
(970) 375-7100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
125030
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23458038
—
CO
Enumeration date
01/16/2007
Last updated
09/03/2010
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