Fontaine, Andra J
Fontaine, Andra J is an individual health care provider with primary practice located at 100 Mercy Way , Joplin MO 64804-4524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fontaine, Andra J can be contacted via phone (417) 782-7722.Contact Information
Primary practice address
100 Mercy Way
Joplin MO 64804-4524
Phone: (417) 782-7722
Fax: (417) 556-3098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 45766 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | MO2001019721 | Missouri |
Profile Details
| NPI number | 1083890461 |
|---|---|
| LBN Legal business name | Fontaine, Andra J |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2008 |
| Last updated | Aug 24th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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