Basil E Fomanka
NPI #1013621010 in Riverdale, Maryland
Provider Information
- NPI Number
- 1013621010
- Entity Type
- Individual
- Name
- Basil E Fomanka
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jan 13, 2023
- Last Updated
- Sep 18, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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