IndividualActive
Brian Fontaine, CRNA
NPI 1861584005 · Certified Registered Nurse Anesthetist · Riverside, RI
Provider details
- NPI number
- 1861584005
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- APRN00008 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
62 Amaral St Ste 100
Riverside, RI 02915-2205
Phone: (352) 275-2064
Approximate (ZIP-level) locationGet directions
Mailing address
33 Scarborough Rd
Pawtucket, RI 02861-4022
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.