Missiet Fogoum, Nadine Carole

Missiet Fogoum, Nadine Carole is an individual health care provider with primary practice located at 8625 Savannah River Rd , Laurel MD 20724-1956. 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. Missiet Fogoum, Nadine Carole can be contacted via phone (202) 459-8904.

Contact Information

Primary practice address
8625 Savannah River Rd Laurel MD 20724-1956
Phone: (202) 459-8904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R205038 Maryland

Profile Details

NPI number 1093075731
LBN Legal business name Missiet Fogoum, Nadine Carole
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2012
Last updated Jan 8th, 2020 - about 5 years ago

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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