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NPI Code Detail

MEDICARE: MISS BRENDA KAHNTAN FOTACHWI

MEDICARE: MISS BRENDA KAHNTAN FOTACHWI
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
1374U00000XHome Health Aide
2163W00000XRegistered NurseRN1033387DC

General Provider Information

NPI Number : 1285995886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRENDA KAHNTAN FOTACHWI
Provider Business Mailing Address
First Line : 9141 LANHAM SEVERN RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-2915
Country : US
Telephone Number : 301-281-3207
Fax Number :
Provider Business Practice Location Address
First Line : 2706 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-1425
Country : US
Telephone Number : 202-255-2574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 10/06/2025

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Directions to “ MISS BRENDA KAHNTAN FOTACHWI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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