NPI 1053955104

Fatu Koroma, NP

Practitioner Psychiatric/Mental Health Nurse Practitioner Cheverly, MD

Practice location

Address: 6490 Landover Rd, Cheverly, MD 20785-1443
Phone: (240) 437-2705
Mailing address: 106 Calumet CT, Gambrills, MD 21054-1060

Registered specialties (2)

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence R187334 (MD)

Other Nurse Practitioner providers in Maryland →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence R187334 (MD)

Registry record

NPI: 1053955104
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2019
Record last updated: 18 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.