Individual
CHANTAL NYEFEN FOKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1512 LARKSPUR CT, HUNTINGTOWN, MD 20639-2314
(240) 593-3792
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R162268
MD
363LG0600X
Gerontology Nurse Practitioner
R162268
MD
Other
Enumeration date
11/03/2021
Last updated
09/12/2025
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