| Anna Banni Fofung, NP | |
| 12875 Morningpark Cir, Alpharetta, GA 30004-7329 | |
| (678) 943-7371 | |
| Not Available | 
| Full Name | Anna Banni Fofung | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 12875 Morningpark Cir, Alpharetta, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760965198 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP139796 (Texas) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | RN216436 (Georgia) | Primary | 
| Entity Name | Vpa Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164149365 PECOS PAC ID: 9234041948 Enrollment ID: O20210722000258 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anna Banni Fofung, NP 12875 Morningpark Cir, Alpharetta, GA 30004-7329 Ph: (678) 943-7371 | Anna Banni Fofung, NP 12875 Morningpark Cir, Alpharetta, GA 30004-7329 Ph: (678) 943-7371 | 
| Kathleen Marie Sklivagkos,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2710 Old Milton Pkwy Ste 150, Alpharetta, GA 30009 Phone: 770-274-9511 | |
| Mr. Terrance B Henderson, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005 Phone: 404-800-5181 | |
| Amy Labib, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy, Alpharetta, GA 30005 Phone: 678-224-8686 | |
| Julia Weirbach, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 960 N Point Pkwy Ste 120, Alpharetta, GA 30005 Phone: 770-800-3353 | |
| Regan J Kudlata, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy # C, Ste 190, Alpharetta, GA 30005 Phone: 404-832-0300 | |
| Joanna M Huff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Milton Ave, Alpharetta, GA 30009 Phone: 425-449-1571 | |
| Gina Leeann Bauknecht, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022 Phone: 770-442-1911 |