Individual provider · Type 1 NPI
Richard Walter Fontaine, NP
Primary Care Nurse Practitioner · Pocasset, MA
NPI number
1659466050
Active
Practice location
830 County Road
Pocasset, MA 02559
Fax (508) 564-9700
Mailing address
66 Rip Van Winkle Way
Buzzards Bay, MA 02532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 131843 (MA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1659466050
Richard Walter Fontaine, NP's National Provider Identifier is 1659466050, issued on Oct 3, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pocasset, MA. The record was last updated on Jul 8, 2007.