DEBRA FONTAINE

HAMPTON, VA
NPI1639105828
Former NameDEBRA STEGALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  49062)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9255984)
Enumeration Date2006-06-23
Last Update Date2015-03-31
Business Address
-- DEBRA FONTAINE CRNA
850 ENTERPRISE PKWY SUITE # 1000
HAMPTON, VA 23666
Phone number: 757-594-2000
Mailing Address
-- DEBRA FONTAINE CRNA
3998 FAIR RIDGE DR SUITE # 300
FAIRFAX, VA 22033
Phone number: 703-766-9737