Brenda Folefac Fonju, | |
6501 N Charles St, Baltimore, MD 21204-6819 | |
(410) 938-3000 | |
Not Available |
Full Name | Brenda Folefac Fonju |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 6501 N Charles St, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174102610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R228896 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheppard Pratt Physicians Pa | 8224937610 | 107 |
Entity Name | Sheppard Pratt Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737 |
Mailing Address | Practice Location Address |
---|---|
Brenda Folefac Fonju, 14644 Wexhall Ter, Burtonsville, MD 20866-1911 Ph: () - | Brenda Folefac Fonju, 6501 N Charles St, Baltimore, MD 21204-6819 Ph: (410) 938-3000 |
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