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Individual

RENEE CAROLINE FONTAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, FNP, PMHNP

Contact information

Practice address
1055 SUMMER ST STE 2, STAMFORD, CT 06905-5527
(203) 504-9758
(203) 547-4914
Mailing address
1239 E PUTNAM AVE, RIVERSIDE, CT 06878-1522

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11399
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11399
CT

Other

Enumeration date
02/20/2023
Last updated
08/27/2025
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