NPI 1013212828

Vivian S. Fontenot, CRNA

Practitioner Certified Registered Nurse Anesthetist Atlanta, GA

Practice location

Address: 1000 Johnson Ferry Rd NE, Atlanta, GA 30342-1606
Phone: (770) 645-9181
Fax: (770) 645-8455
Mailing address: 3155 N Point Pkwy Building F, Suite 100, Alpharetta, GA 30005-5481

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN180376 (GA)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1013212828
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2011
Record last updated: 26 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.