MEDICARE: FATMATA M MUSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide
2	171M00000X	Case Manager/Care Coordinator
3	1041C0700X	Clinical Social Worker	LG200004630	DC

General Provider Information

NPI Number	:	1073876850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATMATA M MUSA

Provider Business Mailing Address
First Line	:	10801 FURGANG RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-8145
Country	:	US
Telephone Number	:	240-441-5167
Fax Number	:

Provider Business Practice Location Address
First Line	:	10801 FURGANG RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-8145
Country	:	US
Telephone Number	:	240-441-5167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	01/14/2026

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