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Contact Information

MARY A FONTENOT, CRNA
1103 KALISTE SALOOM RD.
SUITE 304
LAFAYETTE, LA70508
 Phone: 337-988-5646
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MARY A FONTENOT · (Female)

NPI # 1427473230
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 03/03/2014
Last updated 05/12/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 849661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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