MAFON FOMUJANG NURSE PRACTITIONER NPI 1013442102

NPI Information

NPI: 1013442102
Provider Name: MAFON FOMUJANG, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2911 MEDICAL ARTS ST STE 10
AUSTIN, TX
ZIP 78705
Phone: (866) 473-0663
Get Directions

Mafon Fomujang, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Austin, TX with 2 years of experience. Mafon Fomujang, NURSE PRACTITIONER NPI is 1013442102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2911 MEDICAL ARTS ST STE 10
AUSTIN, TX
ZIP 78705-302
Phone: (866) 473-0663

The NPI 1013442102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2017 and was last updated on 7/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	023666	OHIO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN.CNP.023666	OHIO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1048371	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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