MIRANDA FONTEM

WASHINGTON, DC
NPI1215292784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: DC  RN1056073)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: DC  RN1056073)
163W00000X Registered Nurse
(Licence: DC  RN1056073)
163W00000X Registered Nurse
(Licence: MD  RN194537)
164W00000X Licensed Practical Nurse
(Licence: MD  R194537)
Enumeration Date2012-07-10
Last Update Date2023-12-20
Business Address
MIRANDA FONTEM APRN
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
Mailing Address
MIRANDA FONTEM APRN
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811