| Declan Fotoh, PMHNP | |
| 600 Pine St, Lowell, MA 01851-2309 | |
| (978) 726-0056 | |
| Not Available | 
| Full Name | Declan Fotoh | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 600 Pine St, Lowell, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063258341 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2024058381 (Massachusetts) | Primary | 
| Entity Name | Supportive Behavioral Care Of Ma Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 | 
| Entity Name | All In One Caregivers Mental Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427788751 PECOS PAC ID: 8729518154 Enrollment ID: O20250213002917 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Declan Fotoh, PMHNP 600 Pine St, Lowell, MA 01851-2309 Ph: () - | Declan Fotoh, PMHNP 600 Pine St, Lowell, MA 01851-2309 Ph: (978) 726-0056 | 
| Evelyne L Delori, RNCS MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 597 Merrimack Street, Lowell Community Health Center, Lowell, MA 01854 Phone: 978-746-7778 Fax: 978-970-0359 | |
| Mrs. Tanya Ann Coutu, FNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Bartlett St Ste 108, Lowell, MA 01852 Phone: 978-453-1811 Fax: 978-452-9111 | |
| Trisha A. Lawrence, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Hospital Dr, Lowell, MA 01851 Phone: 978-458-1411 | |
| Nicole Flaherty,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 | |
| Mrs. Julie Frances Vergados Simoneau,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6088 | |
| Karen B Farnum, APRN BC PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Bartlett St Ste 305, Lowell, MA 01852 Phone: 978-452-2200 Fax: 978-452-2292 | |
| Ruth Ngeth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Jackson St, Lowell, MA 01852 Phone: 978-937-9700 |