Individual
PRINCESS FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 PROVIDER CIR, FORT BRAGG, NC 28307-1518
(912) 532-0598
Mailing address
16 PROVIDER CIR, FORT BRAGG, NC 28307-1518
(912) 532-0598
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
004090
GA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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