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

Individual provider Family Nurse Practitioner · NPI 1215638465

Maseray Fofanah, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Qofl Services LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1717 W Northern Ave Ste 211
Phoenix, AZ 85021-5469
Phone: (480) 249-2655
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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 1068830 (TX)

Record details

NPI number1215638465
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedMarch 14, 2023
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Qofl Services Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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