Individual
MS. CARRIE E FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1901 E UNIVERSITY DR STE 240, MESA, AZ 85203-8309
(480) 999-7911
Mailing address
1901 E UNIVERSITY DR STE 240, MESA, AZ 85203-8309
(480) 999-7911
(480) 499-5829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0775
NH
363A00000X
Physician Assistant
PA-658
ME
363AM0700X
Medical Physician Assistant
Primary
9689
AZ
Other
Enumeration date
08/01/2006
Last updated
01/29/2026
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