Individual provider · Type 1 NPI

Merlyn Fanga

Acute Care Nurse Practitioner · Glen Burnie, MD

NPI number 1235872680 Active

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Mailing address

255 Hospital Dr Suite 107
Glen Burnie, MD 21061-3632

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR226043 (MD)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1235872680

Merlyn Fanga's National Provider Identifier is 1235872680, issued on Apr 14, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Glen Burnie, MD. The record was last updated on Jun 25, 2023.