NADINE CAROLE MISSIET FOGOUM (NPI# 1093075731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093075731 |
| Entity Type | Individual |
| Full Name | NADINE CAROLE MISSIET FOGOUM |
| Credential | CRNP |
| Practice Address |
8625 Savannah River Rd Laurel MD 20724-1956 |
| Practice Telephone | 2024598904 |
| Mailing Telephone | 2024598904 |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R205038 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8625 SAVANNAH RIVER RD |
| City | LAUREL |
| State | MD |
| Zip Code | 20724-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124532221 | Brice Kadji Fogan | Home Health Aide | 8625 Savannah River Rd, Laurel, MD 20724-1956 | 2017-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1619456720 | Franklin F Cho Tumasang | Home Health Aide | 8085 Pennington Dr, Laurel, MD 20724 | 2018-08-09 |
| 1134622871 | Alberta Derkyi | Nurse Practitioner | 3404 Bitterwood Place, #i003, Laurel, MD 20724 | 2018-03-08 |
| 1497272892 | Kelly Elise Ferguson | Acupuncturist | 3115 Burning Springs Rd Apt 2a, Laurel, MD 20724 | 2017-08-25 |
| 1245752625 | Ngwe Ernestine Ndikum | Home Health Aide | 3573 Fort Meade Road Apt 512, Laurel, MD 20724 | 2017-07-07 |
| 1063943496 | Jennifer Nowell | Counselor | 3407 Holly Creek Drive Apt 1a, Laurel, MD 20724 | 2017-03-27 |
| 1912369315 | Josiane Kameni Sahok | Home Health Aide | 8057 Ians Alley, Laurel, MD 20724 | 2016-03-24 |
| 1851641955 | Kelvinda Kamara | Nurse Practitioner | 7903 Orion Circle, D234 Nurse Practitioner On Call, Laurel, MD 20724 | 2012-09-16 |
| 1164787578 | Kaday Jalloh | Home Health Aide | 8605 Woodland Manor Drive, Laurel, MD 20724 | 2012-07-11 |
| Find all providers in zip 20724 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364814 | Adedoyin Sobowale | Nurse Practitioner | 7701 Beall Rd, Laurel, MD 20707-3300 | 2020-07-31 |
| 1003437377 | Judith Tangi | Nurse Practitioner | 8125 Mallard Shore Dr, Laurel, MD 20724-2967 | 2020-04-28 |
| 1922664796 | Maryrose Otugo | Nurse Practitioner | 14301 Wilshire Ct, Laurel, MD 20707-9512 | 2019-05-16 |
| 1316404353 | Maria Neh Tancho | Nurse Practitioner | 13715 Oaklands Manor Dr, Laurel, MD 20708-1430 | 2019-02-26 |
| 1588901946 | Mary Nongndeh Zelio | Nurse Practitioner | 3573 Fort Meade Rd, Laurel, MD 20724-2015 | 2013-01-04 |
| 1649573346 | Leighton Kennedy | Nurse Practitioner | 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707-3527 | 2010-12-19 |
| 1780816553 | Janet Powell Mcmillan | Nurse Practitioner | 69 Watertank Rd, Laurel, MS 39443-2954 | 2009-08-12 |
| 1487260584 | Rose Godwin Support Services, Inc | Nurse Practitioner | 13671 Baltimore Ave, Laurel, MD 20707-5096 | 2020-09-23 |
| 1548871106 | Muni Gwanyebit | Nurse Practitioner | 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 | 2020-08-16 |
| 1790393056 | Md Telepsychiatric Center, L.L.C. | Nurse Practitioner | 13807 Clarkwood Ln, Laurel, MD 20707-9437 | 2020-07-22 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.