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

Mrs. Mary Ruth Fofanah, NA

Individual provider Home Health Registered Nurse · NPI 1205798642

Mrs. Mary Ruth Fofanah, NA is a Home Health Registered Nurse in Fredericksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

509 Rivers Edge Dr
Fredericksburg, VA 22405-1298
Phone: (571) 501-5981
Fax: (571) 501-5981
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 1401103712 (VA)

Record details

NPI number1205798642
Entity typeIndividual (Type 1)
GenderFemale
Credentials NA
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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