MRS. MARGARETH FONTAINE


Address: 2010 Buttonwood Rd, Berwyn, PA 19312-2104
Phone: 4843192288

MRS. MARGARETH FONTAINE (NPI# 1407410624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407410624
Entity Type Individual
Full Name MRS. MARGARETH FONTAINE
Practice Address 2010 Buttonwood Rd
Berwyn
PA 19312-2104
Practice Telephone 4843192288
Mailing Telephone 4843192288
Enumeration Date 2019-04-23
Last Update Date 2019-04-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
SP020291 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2010 BUTTONWOOD RD
City BERWYN
State PA
Zip Code 19312-2104

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City BERWYN
Zip Code 19312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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