Individual provider · Type 1 NPI
Mary Ruth Fofanah, NA
Home Health Registered Nurse · Fredericksburg, VA
NPI number
1205798642
Active
Practice location
509 Rivers Edge Dr
Fredericksburg, VA 22405-1298
Fax (571) 501-5981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 1401103712 (VA) |
Home Health Registered Nurse: Definition to come...
Another provider at this address
Other home health registered nurse providers in Fredericksburg
About NPI 1205798642
Mary Ruth Fofanah, NA's National Provider Identifier is 1205798642, issued on Nov 24, 2025. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Fredericksburg, VA. The record was last updated on Oct 9, 2026.