National Provider Identifier
Tina Fountaine, RN
Tina Fountaine, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Walworth, NY and a listed phone number of (585) 857-2499.
Profile Overview
- NPI
- 1316308323
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- March 18, 2016
- Last Updated
- March 18, 2016
Practice Location
- 1527 Aster Ter
- Walworth, NY 14568
Phone: (585) 857-2499
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1316308323
- Entity Type
- Individual
- Last Name
- Fountaine
- First Name
- Tina
- Credential
- RN
- Mailing Street Address
- 1527 Aster Ter
- Mailing City
- Walworth
- Mailing State
- NY
- Mailing ZIP Code
- 14568
- Mailing Country
- US
- Mailing Phone
- (585) 857-2499
- Practice Street Address
- 1527 Aster Ter
- Practice City
- Walworth
- Practice State
- NY
- Practice ZIP Code
- 14568
- Practice Country
- US
- Practice Phone
- (585) 857-2499
- Enumeration Date
- March 18, 2016
- Last Updated
- March 18, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)