| Marita Atehakoh Formin, NP | |
|
7375 Executive Pl, Lanham, MD 20706-2278 | |
| (202) 940-2022 | |
| Not Available |
| Full Name | Marita Atehakoh Formin |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family |
| Location | 7375 Executive Pl, Lanham, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568827855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | R249853 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marita Atehakoh Formin, NP 7375 Executive Pl Ste 200, Lanham, MD 20706-6234 Ph: (202) 940-2022 | Marita Atehakoh Formin, NP 7375 Executive Pl, Lanham, MD 20706-2278 Ph: (202) 940-2022 |
Olufunso Sofola, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5403 85th Ave Apt 102, Lanham, MD 20706 Phone: 240-476-1712 | |
Ollyne Gabbidon, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 9806 Woodberry St, Lanham, MD 20706 Phone: 240-481-5847 | |
Chancelline Asongwe, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 9905 Good Luck Rd, Lanham, MD 20706 Phone: 405-541-5553 |