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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE FONTAINE, RN, HNB-BC, HWNC-BC

Active

DOMINIQUE FONTAINE, RN, HNB-BC, HWNC-BC is a Child & Adolescent Psychiatric Nurse healthcare provider located in MAKAWAO, Hawaii. NPI 1558122473 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · MAKAWAO, HI

Registration Details

NPI Number
1558122473
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2024 (2.3865085000759 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-102
MAKAWAO, HI, 967687505
Browse HI providers · Browse ZIP 96768
Phone
8087070925
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
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.