Individual
ANDERSON FONTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S HAYS ST, BEL AIR, MD 21014-3615
(410) 877-2340
(410) 638-4954
Mailing address
120 S HAYS ST, BEL AIR, MD 21014-3615
(410) 877-2340
(410) 638-4954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R245785
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R245785
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP026564
PA
Other
Enumeration date
09/23/2021
Last updated
04/22/2026
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