Individual provider · Type 1 NPI

Mary Theresa Fantazia, DNP

Certified Registered Nurse Anesthetist · Temple, TX

NPI number 1619704947 Active

Practice location

2401 S 31st St
Temple, TX 76508-5060

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X1170828 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1619704947

Mary Theresa Fantazia, DNP's National Provider Identifier is 1619704947, issued on Sep 19, 2024. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Temple, TX. The record was last updated on Aug 4, 2025.