Individual provider · Type 1 NPI
Basil E. Fomanka
Psychiatric/Mental Health Nurse Practitioner · Riverdale, MD
NPI number
1013621010
Active
Practice location
6200 Baltimore Ave, 300-R9
Riverdale, MD 20737-1054
Mailing address
6200 Baltimore Ave Ste 300-R9
Riverdale, MD 20737-1054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R198010 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
13 other providers at this address
- Gebaj Mental Health and Core Services Clinic, IncPsychiatric/Mental Health Registered Nurse Riverdale, MD NPI 1922866011
- M&m Abundant Life Urgent Care & Mental Health Clinic LLCFamily Nurse Practitioner Riverdale, MD NPI 1669353900
- McClure, Blumenfeld, Digregorio, Sease, P.a., T/a the Dental GroupDentist Riverdale, MD NPI 1578644472
- The Dental Group By Smile LoftDentist Riverdale, MD NPI 1316805450
- Anthony J. Digregorio, DDSGeneral Practice Dentistry Riverdale, MD NPI 1952482739
- Frederick J. Blumenfeld, DDSGeneral Practice Dentistry Riverdale, MD NPI 1942381892
- Kashia FigueroaGeneral Practice Dentistry Riverdale, MD NPI 1457432312
- Kathleen T. Frankle, DDSEndodontics Riverdale, MD NPI 1841371622
- Mark J. McClure, DDSGeneral Practice Dentistry Riverdale, MD NPI 1467533307
- Ramien Roya Tajick, DDSGeneral Practice Dentistry Riverdale, MD NPI 1245311042
- Sarah Kilsoon Park, DDSPeriodontics Riverdale, MD NPI 1942382346
- Teresa Regil, DDSPediatric Dentistry Riverdale, MD NPI 1750462610
Other psychiatric/mental health nurse practitioner providers in Riverdale
- Bosede M. Adeleye, PMHNPPsychiatric/Mental Health Nurse Practitioner Riverdale, MD NPI 1659629798
- Nkechi Nikki Franca Ukwandu, MSN PMHMNPPsychiatric/Mental Health Nurse Practitioner Riverdale, MD NPI 1770142093
- John Adelaja Adeleye, CRNP-PMHPsychiatric/Mental Health Nurse Practitioner Riverdale, MD NPI 1780332106
- Dorothy AkakemPsychiatric/Mental Health Nurse Practitioner Riverdale, MD NPI 1790352649
About NPI 1013621010
Basil E. Fomanka's National Provider Identifier is 1013621010, issued on Jan 13, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Riverdale, MD. The record was last updated on Sep 18, 2025.