Fontana, Denise R

Fontana, Denise R is an individual health care provider with primary practice located at 1240 S Cedar Crest Blvd Ste 103, Allentown PA 18103-6369. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fontana, Denise R can be contacted via phone (610) 402-7880.

Contact Information

Primary practice address
1240 S Cedar Crest Blvd Ste 103 Allentown PA 18103-6369
Phone: (610) 402-7880
Fax: (610) 402-7881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300652 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP011903 Pennsylvania

Profile Details

NPI number 1467564898
LBN Legal business name Fontana, Denise R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 17th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467564898 NPPES
New York MEDICAID 02099094

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