Fomujang, Mafon
Fomujang, Mafon is an individual health care provider with primary practice located at 2911 Medical Arts St Ste 10 , Austin TX 78705-3302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fomujang, Mafon can be contacted via phone (866) 473-0663.Contact Information
Primary practice address
2911 Medical Arts St Ste 10
Austin TX 78705-3302
Phone: (866) 473-0663
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 023666 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN.CNP.023666 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1048371 | Texas |
Profile Details
NPI number | 1013442102 |
---|---|
LBN Legal business name | Fomujang, Mafon |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2017 |
Last updated | Jul 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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