Individual provider · Type 1 NPI
Maseray Fofanah, FNP
Family Nurse Practitioner · Phoenix, AZ
NPI number
1215638465
Active
Practice location
1717 W Northern Ave Ste 211
Phoenix, AZ 85021-5469
Mailing address
257 N State Rd Apt 25A
Springfield, PA 19064-1826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1068830 (TX) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1215638465
Maseray Fofanah, FNP's National Provider Identifier is 1215638465, issued on Mar 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 14, 2023.