Individual provider · Type 1 NPI

Charles M. Fofang, NP

Nurse Practitioner · Oklahoma City, OK

NPI number 1093225989 Active

Practice location

1122 NE 13th St
Oklahoma City, OK 73117-1039

Call (405) 271-4351 Map

Fax (405) 271-8695

Mailing address

PO Box 26901
Oklahoma City, OK 73126-0901

Other practice locations

  • 1812 Brittany Ln, Edmond, OK 73003-3810 · (216) 269-9592

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF10170079 (OK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093225989

Charles M. Fofang, NP's National Provider Identifier is 1093225989, issued on Oct 4, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 25, 2021.