Individual provider · Type 1 NPI
Nadine Carole Missiet Fogoum, CRNP
Psychiatric/Mental Health Nurse Practitioner · Laurel, MD
NPI number
1093075731
Active
Practice location
8625 Savannah River Rd
Laurel, MD 20724-1956
Other practice locations
- 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 · (202) 360-4787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R205038 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1093075731
Nadine Carole Missiet Fogoum, CRNP's National Provider Identifier is 1093075731, issued on May 28, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Laurel, MD. The record was last updated on Dec 23, 2024.