Mrs Temitope Fowora, FNP-BC | |
515 Fairmount Ave Ste 500, Towson, MD 21286-5466 | |
(410) 494-1662 | |
Not Available |
Full Name | Mrs Temitope Fowora |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 515 Fairmount Ave Ste 500, Towson, 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 |
---|---|---|---|
1972998086 | NPI | - | NPPES |
1972998086 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R180799 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Md St Joseph Medical Center | Towson, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Maryland St Joseph Medical Group Llc | 4880846179 | 244 |
Entity Name | University Of Maryland St Joseph Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
Mailing Address | Practice Location Address |
---|---|
Mrs Temitope Fowora, FNP-BC 515 Fairmount Ave Ste 500, Towson, MD 21286-8502 Ph: (443) 600-1038 | Mrs Temitope Fowora, FNP-BC 515 Fairmount Ave Ste 500, Towson, MD 21286-5466 Ph: (410) 494-1662 |
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