Individual
PAULA G FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
235 SAINT ANN DR, SUITE 2, MANDEVILLE, LA 70471-3396
(985) 727-7275
(985) 727-7915
Mailing address
235 SAINT ANN DR, SUITE 2, MANDEVILLE, LA 70471-3396
(985) 727-7275
(985) 727-7915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN050836
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05578089
—
MS
05
—
1659401
—
LA
Enumeration date
05/30/2005
Last updated
10/30/2009
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