Individual provider · Type 1 NPI

Hawanatu Fofanah, NP

Family Nurse Practitioner · Ontario, CA

NPI number 1831561448 Active

Practice location

437 N Euclid Ave
Ontario, CA 91762-3456

Mailing address

11210 4th St, APT.2119
Rancho Cucamonga, CA 91730-6042

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X14373 (CA)

Family Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1831561448

Hawanatu Fofanah, NP's National Provider Identifier is 1831561448, issued on Oct 21, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ontario, CA. The record was last updated on Oct 21, 2015.