Provider Demographics
NPI:1629967716
Name:FONTANA, NANCY EMILIE (MA, APRN, PMHCNS-BC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:EMILIE
Last Name:FONTANA
Suffix:
Gender:F
Credentials:MA, APRN, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GARYANN TER
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-2404
Mailing Address - Country:US
Mailing Address - Phone:845-499-7855
Mailing Address - Fax:845-499-7855
Practice Address - Street 1:14 GARYANN TER
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-2404
Practice Address - Country:US
Practice Address - Phone:845-499-7855
Practice Address - Fax:845-499-7855
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYM405198-01163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult