Fontana, Robin H

Fontana, Robin H is an individual health care provider with primary practice located at 9725 Se 36Th St Suite 214, Mercer Island WA 98040. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Fontana, Robin H can be contacted via phone (206) 275-3588.

Contact Information

Primary practice address
9725 Se 36Th St Suite 214 Mercer Island WA 98040
Fax: (206) 275-2073
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X AP30004797 Washington

Profile Details

NPI number 1063463321
LBN Legal business name Fontana, Robin H
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 30th, 2016 - about 8 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 1063463321 NPPES
Washington MEDICAID 192115
Washington MEDICAID 9627746

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