VIVIAN ANGYIAHEN FOMUKONG (NPI# 1811336803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811336803 |
| Entity Type | Individual |
| Full Name | VIVIAN ANGYIAHEN FOMUKONG |
| Practice Address |
9276 Adelphi Rd Apt 204 Hyattsville MD 20783-2029 |
| Practice Telephone | 2023786632 |
| Mailing Telephone | 2023786632 |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2013-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SH0200X |
Clinical Nurse Specialist Specialization: Home Health |
HHA8384 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9276 ADELPHI RD APT 204 |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20783-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862954 | Tera Duffer | Physician Assistant | 7506 Adelphi, Hyattsville, MD 20783 | 2019-10-14 |
| 1164999512 | Melorejuvenationsmeloweightloss LLC (dba) Best Pharmacy | Pharmacy | 6495 New Hampshire Av Suite # B130, Hyattsville, MD 20783 | 2018-10-24 |
| 1518446657 | Florentine Madeleine Domche - Pesok | Home Health Aide | 1836 Metzerott Rd Apt 1116, Adelphi, MD 20783 | 2018-08-09 |
| 1306365218 | Alain Samuel Kameni | Home Health Aide | 1906 Dana Dr., Hyattsville, MD 20783 | 2017-09-12 |
| 1871011486 | Justin Lee Blackwell | Counselor | 3501 University Blvd East, Adelphi, MD 20783 | 2017-09-04 |
| 1154843712 | Annmarie Cynthia Wallace | Home Health Aide | 836 Fairoak Ave, Hyattsville, MD 20783 | 2017-07-14 |
| 1063934677 | Dorine Adeline Kouanang Lapa Epse Laakak | Technician | 4043 Greenlawn Drive Apt 100, Hyattsville, MD 20783 | 2017-07-14 |
| 1861914798 | Danielle Marie Graham | Social Worker | 1800 Metzerott Rd, Apt 206, Adelphi, MD 20783 | 2017-07-12 |
| 1336684703 | Evelin Reyes | Home Health Aide | 2121 Ruatan St, Hyattsville, MD 20783 | 2016-12-21 |
| 1689121238 | Carole Nkwignia Nketcha | Home Health Aide | 1908 Erie St Apt 102, Hyattsville, MD 20783 | 2016-09-01 |
| Find all providers in zip 20783 | ||||
| Taxonomy Code | 364SH0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031207 | Spring Healthcare Inc. | Clinical Nurse Specialist | 804 W Diamond Ave Ste 301, Gaithersburg, MD 20878-1414 | 2020-10-21 |
| 1942727805 | Adassah Health Resources, LLC | Clinical Nurse Specialist | 9721 Luguna Rd, Middle River, MD 21220-3769 | 2017-08-23 |
| 1306236815 | April Eileen Bowen | Clinical Nurse Specialist | 6009 Rowanberry Dr, Elkridge, MD 21075-5289 | 2015-02-04 |
| City | HYATTSVILLE |
| Zip Code | 20783 |
Please comment or provide details below to improve the information on VIVIAN ANGYIAHEN FOMUKONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.