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

DR. EDNITA CHARZETTE STREET FOUNTAIN, DNP, CRNA

Active

DR. EDNITA CHARZETTE STREET FOUNTAIN, DNP, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in TERRE HAUTE, Indiana. NPI 1578141024 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · TERRE HAUTE, IN

Registration Details

NPI Number
1578141024
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2021 (5.337437711757 yrs)
Last Updated
Jun 16, 2021
Licenses
889173 (MS)
901702 (MS)

Practice Information

Address
1421 N 7TH ST
TERRE HAUTE, IN, 478071005
Browse IN providers · Browse ZIP 47807
Phone
8122314608
Fax
8122314675
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in TERRE HAUTE, IN

Name Credential NPI
MR. ELLIOTT EMILE MCGREGORY CRNA 1265439285
MR. LARRY R HILL CRNA 1992703839
BRADLEY WAYNE STELFLUG CRNA 1689672560
WILLIAM HENRY LEY 1659379584
CURTISS A. WALL CRNA 1891789111
JACQUELINE R VEGAS CRNA 1538111000
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.