Doctor Name: | MARY A. FOSU |
NPI Number: | 1881892875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | 126594 |
Business Practice Address: | 1811 Woodlawn Dr Woodlawn, MD - 212074008 |
Business Phone Number: | 4108871332 |
Business Fax Number: | 4108871386 |
Mailing Address: | 1811 Woodlawn Dr, WOODLAWN |
State: | MD |
Postal Code: | 212074008 |
Phone Number: | 4108871332 |
Fax Number: | 4108871386 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 126594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |