NPI 1194652040 · live from the CMS NPI Registry
Nahvoma Fonbisa
Registered Nurse, Psych/Mental Health, Adult in Glen Burnie, MD. National Provider Identifier 1194652040, active.
NPI record
| NPI | 1194652040 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 1406 Crain Hwy S, Glen Burnie, MD 21061 |
| Practice phone | 240-481-8451 |
| Mailing address | 512 Jennings Mill Dr, Bowie, MD 20721 |
| Enumerated | May 5, 2026 |
| Last updated | May 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | R239337 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.