Mary Theresa Fantazia, DNP
Nurse Anesthetist, Certified Registered in Temple, TX. Individual provider (NPI-1).
NPI number1619704947
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1619704947
- Entity type
- Individual (NPI-1)
- Name
- Mary Theresa Fantazia
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2024
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1170828 | TX | Yes |
Practice location
2401 S 31st StTemple, TX 76508-5060
Phone 254-724-2111
Mailing address
Po Box 844658Dallas, TX 75284-4658
Phone 800-994-0371
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All 206 Certified Registered Nurse Anesthetist providers in Temple · All 5,096 providers in Temple
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