| 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 |
| Entity Name | Wisdom Community Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003751850 PECOS PAC ID: 7810465713 Enrollment ID: O20260508002922 |
| Mailing Address | Practice Location Address |
|---|---|
| Declan Fotoh, PMHNP 600 Pine St, Lowell, MA 01851-2309 Ph: Not Available | Declan Fotoh, PMHNP 600 Pine St, Lowell, MA 01851-2309 Ph: (978) 726-0056 |
Evelyne L Delori, RNCS MSN Nurse Practitioner Medicare: Medicare Enrolled 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: Accepting 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 |
Michelle Martinez, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Jackson St, Lowell, MA 01852 Phone: 978-937-9700 Fax: 978-221-6728 |