Individual
HAWA FOFANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1451 ROCKVILLE PIKE STE 250, ROCKVILLE, MD 20852-1486
(301) 288-1600
(301) 517-9276
Mailing address
2275 RESEARCH BLVD # 500-72, ROCKVILLE, MD 20850-3268
(301) 288-1600
(301) 517-9276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R214435
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R214435
MD
Other
Enumeration date
02/27/2015
Last updated
05/13/2022
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