Fomujang, Mafon

Fomujang, Mafon is an individual health care provider with primary practice located at 2911 Medical Arts St Ste 10 , Austin TX 78705-3302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fomujang, Mafon can be contacted via phone (866) 473-0663.

Contact Information

Primary practice address
2911 Medical Arts St Ste 10 Austin TX 78705-3302
Phone: (866) 473-0663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 023666 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.023666 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1048371 Texas

Profile Details

NPI number 1013442102
LBN Legal business name Fomujang, Mafon
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2017
Last updated Jul 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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