Active NPIIndividual providerSole proprietor

Mr. Brian K Fontaine, CRNA

Nurse Anesthetist, Certified Registered in Riverside, Rhode Island

NPI Number1861584005
Practice location
62 Amaral St Ste 100, Riverside, RI 02915-2205
Fax
—
Last updated
July 24, 2024

Brian Kenneth Fontaine is a Nurse Anesthetist, Certified Registered based in Riverside, RI. Brian Kenneth Fontaine practices in Riverside, RI and has the professional credentials of CRNA. The NPI Number for Brian Kenneth Fontaine is 1861584005 and holds a License No. APRN00008 (RI). The current practice location address for Brian Kenneth Fontaine is 62 Amaral St Ste 100, Riverside, RI 02915-2205 and can be reached out via phone at 352-275-2064.

Provider Profile Details

NPI Number
1861584005
Provider Name
Brian Kenneth Fontaine
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
62 Amaral St Ste 100, Riverside, RI 02915-2205
Phone Number
352-275-2064
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
September 28, 2006
Last Update Date
July 24, 2024
Certification Date
July 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Amaral St Ste 100
Riverside, RI 02915-2205
Zip
02915-2205
Phone Number
352-275-2064
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
33 Scarborough RD
Pawtucket, RI 02861-4022
City
Pawtucket
State
RI
Zip
02861-4022
Phone Number
401-725-7021

License Information

License Number (1)
APRN00008
License State (1)
RI
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
241092
License State (2)
MA
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Brian K Fontaine, CRNA?

The NPI number of Mr. Brian K Fontaine, CRNA is 1861584005. It was assigned on September 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Brian K Fontaine, CRNA?

Mr. Brian K Fontaine, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in RI under license number APRN00008.

Where does Mr. Brian K Fontaine, CRNA practice?

The practice location is 62 Amaral St Ste 100, Riverside, RI 02915-2205. The office can be reached at 352-275-2064 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861584005 directly on the NPPES registry website.

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