Marcel Fomotar, CRNP-PMH
Marcel Fomotar, CRNP-PMH is a Nurse Practitioner in Clovis, California. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California and Maryland.
- Years since qualifying
- 4
- Trained at
- University of South Alabama College of Medicine
- Licensed in
- CA, MD
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
1085 Sanders AveClovis, CA 93619-3935
Phone: (408) 449-6623
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 601 E Naylor Mill Rd Unit F, Salisbury, MD 21804-2256 — (410) 572-4738
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95014417 (CA) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 95043929 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence R244114 (MD) |
Record details
| NPI number | 1447765409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNP-PMH |
| Sole proprietor | Yes |
| NPI enumerated | December 12, 2017 |
| Last updated in NPPES | September 16, 2022 |
| Certification date | September 16, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Clovis
-
Molly J Bertram, RN, PMHNP
2121 Herndon Ave Ste 102, Clovis, CA 93611-6302 · (844) 489-0836
-
Mrs. Maria L Mallada, RN
342 W Trenton Ave, Clovis, CA 93619-3719 · (559) 323-9833
-
Mr. Chylbert Magbanua Rosendo, REGISTEREDNURSE
1102 Lester Ave, Clovis, CA 93619-7542 · (559) 298-5469