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

Marita Atehakoh Formin, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568827855

Marita Atehakoh Formin, NP is a Nurse Practitioner in Lanham, Maryland. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7375 Executive Pl
Lanham, MD 20706-2278
Phone: (202) 940-2022
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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 R249853 (MD)

Record details

NPI number1568827855
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 31, 2015
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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