Individual provider · Type 1 NPI
Gideon Tah Fon
Psychiatric/Mental Health Nurse Practitioner · Randallstown, MD
NPI number
1891304887
Active
Practice location
6 Rock Story Ct, None
Randallstown, MD 21133-2844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R134373 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1891304887
Gideon Tah Fon's National Provider Identifier is 1891304887, issued on Jul 27, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Randallstown, MD. The record was last updated on Jul 27, 2020.