Individual
DIANNA FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
18591 N 59TH AVE, GLENDALE, AZ 85308
(602) 789-1166
Mailing address
18591 N 59TH AVE, GLENDALE, AZ 85308
(602) 789-1166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8808
AZ
Other
Enumeration date
08/19/2016
Last updated
07/30/2018
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