Fontana, Ellen

Fontana, Ellen is an individual health care provider with primary practice located at 4110 Guadalupe St , Austin TX 78751-4296. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fontana, Ellen can be contacted via phone (512) 419-2770.

Contact Information

Primary practice address
4110 Guadalupe St Austin TX 78751-4296
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 686654 Texas

Profile Details

NPI number 1649422064
LBN Legal business name Fontana, Ellen
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Oct 7th, 2011 - 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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