Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE FONTAINE, RN, HNB-BC, HWNC-BC
ActiveChild & Adolescent Psychiatric Nurse · MAKAWAO, HI
Registration Details
- NPI Number
- 1558122473
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2024 (2.2605907589608 yrs)
- Last Updated
- Jan 18, 2024
- Licenses
-
RN9576272 (FL)RN-114233-0 (HI)RN-114233-0 (HI)
Practice Information
- Address
-
3681 BALDWIN AVE STE G-102MAKAWAO, HI, 967687505Browse HI providers · Browse ZIP 96768
- Phone
- 8087070925
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Holistic Clinical Nurse Specialist
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
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.