Organization · Type 2 NPI
Source Fountain Wellness LLC
Psychiatric/Mental Health Nurse Practitioner · Fredericksburg, VA
NPI number
1750290110
Active
Practice location
105 Bancroft Dr
Fredericksburg, VA 22405-1206
Fax (450) 371-3016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1750290110
Source Fountain Wellness LLC's National Provider Identifier is 1750290110, issued on Sep 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fredericksburg, VA. The record was last updated on Sep 2, 2026.