Healthcare Provider Details

I. General information

NPI: 1831026277
Provider Name (Legal Business Name): NATALIYA FESENKO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11903 DEVILWOOD DR
POTOMAC MD
20854-3410
US

IV. Provider business mailing address

11903 DEVILWOOD DR
POTOMAC MD
20854-3410
US

V. Phone/Fax

Practice location:
  • Phone: 301-793-9457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number16800
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: