Ancella W Fominyam, PMHNP-BC
Ancella W Fominyam, PMHNP-BC is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2021, 5 years ago. Practices with Sunflower Health Care Resources, a 3-clinician group and accepts Medicare assignment. Licensed in District of Columbia.
- Years since qualifying
- 5
- Licensed in
- DC
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
- A board-certified psychiatric nurse practitioner.
Practice location Address checks out
7826 Eastern Ave NW Ste 206Washington, DC 20012-1333
Phone: (240) 350-8854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence NP1035937 (DC) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence RN1035937 (DC) |
Record details
| NPI number | 1558951285 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2021 |
| Last updated in NPPES | October 12, 2023 |
| Certification date | October 12, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Sunflower Health Care Resources — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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