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NPI Code Detail

MEDICARE: ANNA KATHERINE FONTENOT

MEDICARE: ANNA KATHERINE FONTENOT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1073461844
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KATHERINE FONTENOT
Provider Business Mailing Address
First Line : 524 COMMERCIAL ST
Second Line :
City : ELKO
State : NV
Zip : 89801-3741
Country : US
Telephone Number : 775-927-5535
Fax Number :
Provider Business Practice Location Address
First Line : 524 COMMERCIAL ST
Second Line :
City : ELKO
State : NV
Zip : 89801-3741
Country : US
Telephone Number : 775-927-5535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ ANNA KATHERINE FONTENOT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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