Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genevieve Makamtchueng Fom

Individual provider Family Nurse Practitioner · NPI 1184319774

Genevieve Makamtchueng Fom is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2022, 4 years ago. Practices with Mnr Industries, LLC, a 143-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Maryland.

Years since qualifying
4
Licensed in
DC, MD
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2226 Wisconsin Ave NW
Washington, DC 20007-4102
Phone: (240) 640-7933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP500011530 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F04230065 (MD)

Record details

NPI number1184319774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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