Most Relevant Information
Provider Data
| NPI Number: | 1003560566 |
| Provider Name: | GLORIA ASIAMAH FOSU RN, MSN, PMHMP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R176670 |
Most Important Dates
| Enumeration Date: | 02/03/2022 |
| Last Updated: | 01/18/2023 |
Provider Practice Location
14502 GREENVIEW DR SUIT 455
LAUREL
MD
207082070
Practice Location Phone/Fax
| Phone: | 2407524513 |
| Fax: |
Provider Mailing Location
14502 GREENVIEW DR STE 455
LAUREL
MD
207083287
Provider Mailing Phone/Fax
| Phone: | 2407524513 |
| Fax: | 9495774067 |