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NADINE CAROLE MISSIET FOGOUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
8625 SAVANNAH RIVER RD, LAUREL, MD 20724-1956
(202) 459-8904
Mailing address
8625 SAVANNAH RIVER RD, LAUREL, MD 20724-1956
(202) 459-8904

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205038
MD

Other

Enumeration date
05/28/2012
Last updated
12/23/2024
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