MEDICARE: PAULA G FONTANA CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	RN050836	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679576193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA G FONTANA CRNA

Provider Business Mailing Address
First Line	:	235 SAINT ANN DR
Second Line	:	SUITE 2
City	:	MANDEVILLE
State	:	LA
Zip	:	70471-3396
Country	:	US
Telephone Number	:	985-727-7275
Fax Number	:	985-727-7915

Provider Business Practice Location Address
First Line	:	235 SAINT ANN DR
Second Line	:	SUITE 2
City	:	MANDEVILLE
State	:	LA
Zip	:	70471-3396
Country	:	US
Telephone Number	:	985-727-7275
Fax Number	:	985-727-7915

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	10/30/2009

Similar Medicare Providers

1801866215 — DR. MARK STEPHEN DENNIS M.D.
Practice Location Address:

235 SAINT ANN DR , SUITE 2
MANDEVILLE, LA
70471-3396

Practice Phone: 985-727-7275
Practice Fax: 985-727-7915

1932143260 — DARRYL MARK LODATO APRN-CRNA
Practice Location Address:

235 SAINT ANN DR , SUITE 2
MANDEVILLE, LA
70471-3396

Practice Phone: 985-727-7275
Practice Fax: 985-727-7915

1760570048 — CAROLYN APPLEBAUM CRNA
Practice Location Address:

235 SAINT ANN DR
MANDEVILLE, LA
70471-3396

Practice Phone: 985-727-7275
Practice Fax:

1093982068 — SOUTHERN PAIN CENTER, LLC
Practice Location Address:

235 SAINT ANN DR , STE 2
MANDEVILLE, LA
70471-3396

Practice Phone: 985-727-7275
Practice Fax: 985-727-7915

1235396987 — TOTAL SLEEP HOLDINGS, INC
Practice Location Address:

235 SAINT ANN DR , STE 1
MANDEVILLE, LA
70471-3396

Practice Phone: 985-727-3975
Practice Fax: 985-727-3780

1598770752 — WALGREEN CO
Practice Location Address:

2880 HIGHWAY 190
MANDEVILLE, LA
70471-3254

Practice Phone: 985-624-8548
Practice Fax:

Directions to “ PAULA G FONTANA CRNA” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.