Adam Lee Fonville
Adam Lee Fonville is a Certified Registered Nurse Anesthetist (CRNA) in Oakland, California. Qualified in 2022, 4 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
3100 Telegraph Ave Ste 348Oakland, CA 94609-3239
Phone: (707) 815-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 95038418 (CA) |
|---|
Record details
| NPI number | 1164149902 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 24, 2022 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | October 23, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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MS. Amanda Heallaey Forbes
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Austin Ethan Friedheim, RN
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