Individual
KAREN FONGHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2311 WEATHERVANE RD, PARKVILLE, MD 21234-2656
(410) 529-2797
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3601
(410) 354-2648
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R143077
MD
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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