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

Monick Fanba

Individual provider Medical Physician Assistant · NPI 1093196990

Monick Fanba is a Medical Physician Assistant in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2015

Practice location Address checks out

2502 Moores Plains Blvd
Upper Marlboro, MD 20774-8027
Phone: (240) 510-5218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0005761 (MD)

Record details

NPI number1093196990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 16, 2015
Mailing address2502 Moores Plains Blvd, Upper Marlboro, MD 20774-8027