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

Nelson Nji Fanso Fomukom

Individual provider Community/Behavioral Health Agency · NPI 1588349609

Nelson Nji Fanso Fomukom is a Community/Behavioral Health Agency in New Carrollton, Maryland. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

7847 Riverdale Rd Apt 303
New Carrollton, MD 20784-4008
Phone: (202) 867-4406
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1588349609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

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