JANICE M FOUNTAIN

NORTHPORT, AL
NPI1346285848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-028101)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AL  1-028101)
Enumeration Date2006-06-18
Last Update Date2010-11-04
Business Address
-- JANICE M FOUNTAIN CRNA
2700 HOSPITAL DR
NORTHPORT, AL 35476-3360
Phone number: 205-759-7352
Mailing Address
-- JANICE M FOUNTAIN CRNA
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401-2029
Phone number: 205-759-7352