Individual provider · Type 1 NPI

Vivian Angyiahen Fomukong

Home Health Clinical Nurse Specialist · Hyattsville, MD

NPI number 1811336803 Active

Practice location

9276 Adelphi Rd Apt 204
Hyattsville, MD 20783-2029

Call (202) 378-6632 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Clinical Nurse Specialist Primary 364SH0200XHHA8384 (DC)

Home Health Clinical Nurse Specialist: Definition to come...

About NPI 1811336803

Vivian Angyiahen Fomukong's National Provider Identifier is 1811336803, issued on Jun 23, 2013. The primary taxonomy on file is Home Health Clinical Nurse Specialist (364SH0200X), and the practice location is in Hyattsville, MD. The record was last updated on Jun 23, 2013.