Basil E Fomanka is a Laurel, Maryland based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Basil E Fomanka is R198010 for Psych/Mental Health in Maryland. His current practice location is 14201 Oxford Dr, Laurel. Patients can reach him at 443-520-8138 with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1013621010. Basil E Fomanka provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Basil E Fomanka speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013621010
NPI Enumeration Date:
13 Jan, 2023
NPI Last Update On:
27 Jun, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Basil E Fomanka are as mentioned below.
License Number
Specialization
State
Status
R198010
Psych/Mental Health
Maryland
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Basil E Fomanka 14201 Oxford Dr, Laurel, Maryland
Zip:
20707-5855
Phone Number:
443-520-8138
Patients can reach Basil E Fomanka at 14201 Oxford Dr, Laurel, Maryland or can call to book an appointment on 443-520-8138.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.