Yvonne Etenyi Fomengia CRNP

NPI 1215286810 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1215286810
Gender Female
Enumeration Date 08/29/2012
Last Updated 08/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9715 HEALTHWAY DR
BERLIN MD, 21811, US
Phone (410) 873-3214
Fax
Business Location
12801 GESSFORD CT
BELTSVILLE MD, 20705, US
Phone (301) 419-2919
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Maryland
License Number R146729
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According to our database, Yvonne Etenyi Fomengia CRNP NPI is 1215286810, taxonomy code is 363LF0000X and license number is R146729, license state is located at Maryland. Yvonne Etenyi Fomengia CRNP physically located at 9715 Healthway Dr, Berlin MD, 21811. NPI Number Yvonne Etenyi Fomengia CRNP has the Individual type.

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1215286810 NPI number is provided on an as is basis without warranty of any kind. 1215286810 is maintained by the National Plan & Provider Enumeration System. The contents of Yvonne Etenyi Fomengia CRNP are for informational purposes only.