MEDICARE: NAPTHALI FONSAH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	374U00000X	Home Health Aide
2	171M00000X	Case Manager/Care Coordinator	DC
3	3747P1801X	Personal Care Attendant	DC

General Provider Information

NPI Number	:	1912549957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAPTHALI FONSAH

Provider Business Mailing Address
First Line	:	3208 WINTER PARK CT
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7550
Country	:	US
Telephone Number	:	240-926-0417
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 WINTER PARK CT
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7550
Country	:	US
Telephone Number	:	240-406-6943
Fax Number	:

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

Provider Enumeration Date	:	10/10/2019
Last Update Date	:	10/17/2025

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Directions to “ NAPTHALI FONSAH ” Practice Location

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