Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGELIQUE THAIS FONTENETTE, M.D.
Active Sole ProprietorDR. ANGELIQUE THAIS FONTENETTE, M.D. is a Emergency Medical Services healthcare provider located in PINE BLUFF, Arkansas. NPI 1376695098 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · PINE BLUFF, AR
Registration Details
- NPI Number
- 1376695098
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2007 (19.598570650151 yrs)
- Last Updated
- Jul 8, 2007
- License
-
N8418 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
JEFFERSON REGIONAL MEDICAL CENTER1600 WEST 40THPINE BLUFF, AR, 71603Browse AR providers · Browse ZIP 71603
- Phone
- 5015417100
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.