| Basil E Fomanka, | |
|
14201 Oxford Dr, Laurel, MD 20707-5855 | |
| (443) 520-8138 | |
| Not Available |
| Full Name | Basil E Fomanka |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 14201 Oxford Dr, Laurel, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013621010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R198010 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Basil E Fomanka, 14201 Oxford Dr, Laurel, MD 20707-5855 Ph: (443) 520-8138 | Basil E Fomanka, 14201 Oxford Dr, Laurel, MD 20707-5855 Ph: (443) 520-8138 |
Judith Tangi, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8125 Mallard Shore Dr, Laurel, MD 20724 Phone: 240-838-4012 | |
Ms. Gloria Asiamah Fosu, RN, MSN, PMHMP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14502 Greenview Dr Suit 455, Laurel, MD 20708 Phone: 240-752-4513 | |
Andria Pryce, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Fairlane Pl, Laurel, MD 20708 Phone: 240-701-2838 | |
Mrs. Bodil Lynn Morris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13801 Belle Chasse Blvd, Unit 211, Laurel, MD 20707 Phone: 407-232-5062 | |
Ms. Florence A Nwana, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13639 Baltimore Ave, Laurel, MD 20707 Phone: 301-604-4830 Fax: 301-604-4929 | |
Making Mpaka, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16305 Gales Ct, Laurel, MD 20707 Phone: 301-404-0726 |