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NPI Code Detail

MEDICARE: MRS. EMMERENCIA CHOFONG MORFAW NP

MEDICARE: MRS. EMMERENCIA CHOFONG MORFAW NP
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
1163W00000XRegistered NurseRN1012436DC
2363LG0600XGerontology Nurse PractitionerAG01190062MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M610229115770OTHERMDMARYLAND MOTOR VEHICLE

General Provider Information

NPI Number : 1316403108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMMERENCIA CHOFONG MORFAW NP
Provider Business Mailing Address
First Line : 5602 LAKE SPRING CT
Second Line :
City : BOWIE
State : MD
Zip : 20720-3817
Country : US
Telephone Number : 240-535-7674
Fax Number :
Provider Business Practice Location Address
First Line : 50 IRVING ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20422-0001
Country : US
Telephone Number : 202-257-8496
Fax Number : 202-745-4024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2019
Last Update Date : 08/15/2023

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