Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY THERESA FANTAZIA, DNP
Active Sole ProprietorMARY THERESA FANTAZIA, DNP is a Certified Nurse Anesthetist (CRNA) healthcare provider located in TEMPLE, Texas. NPI 1619704947 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · TEMPLE, TX
Registration Details
- NPI Number
- 1619704947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2024 (1.8782684273949 yrs)
- Last Updated
- Aug 4, 2025
- License
-
1170828 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2401 S 31ST STTEMPLE, TX, 765085060Browse TX providers · Browse ZIP 76508
- Phone
- 2547242111
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in TEMPLE, TX
| Name | Credential | NPI |
|---|---|---|
| LISA CARRIE ARCHAMBAULT MALLON | CRNA | 1992708408 |
| MICHELLE M MILLER | CRNA | 1639174188 |
| MS. KATHRYN M VONACHEN | CRNA | 1366434920 |
| MR. DAVID ANDERSON CARTER | CRNA | 1942293030 |
| RIC BARIBEAULT | CRNA | 1780679720 |
| PAUL M. EFFERTZ | CRNA | 1588650642 |
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.