Individual
MS. GLORIA ASIAMAH FOSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHMP-BC
Contact information
Practice address
14502 GREENVIEW DR SUIT 455, LAUREL, MD 20708-2070
(240) 752-4513
Mailing address
14502 GREENVIEW DR STE 455, LAUREL, MD 20708-3287
(240) 752-4513
(949) 577-4067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R176670
MD
Other
Enumeration date
02/03/2022
Last updated
01/18/2023
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