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Contact Information

KELLY E FANTOZZI, CRNA
3636 HIGH STREET
MARY VIEW MEDICAL CENTER
PORTSMOUTH, VA23704
 Phone: 757-399-7461
 Fax: 757-399-1158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KELLY E FANTOZZI · (Female)

NPI Number 1982640728
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 06/21/2006
Last updated 02/16/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 0001169731
  • VA License # 0024166903
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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