person
Marcel Fomotar, CRNP-PMH
Psychiatric/Mental Health Nurse Practitioner in Clovis, California
NPI 1447765409

Marcel Fomotar is a Psychiatric/Mental Health Nurse Practitioner based in Clovis, CA and is specialized in Psychiatric/Mental Health. Marcel Fomotar practices in Clovis, CA and has the professional credentials of CRNP-PMH. The NPI Number for Marcel Fomotar is 1447765409 and holds a License No. 95043929 (California).

The current practice location address for Marcel Fomotar is 1085 Sanders Ave, Clovis, CA and can be reached out via phone at 408-449-6623.

Location: 1085 Sanders Ave, Clovis, CA, 93619-3935
person
Provider Profile Details
NPI Number
1447765409
Provider Name
Marcel Fomotar
Credential
CRNP-PMH
Provider Entity Type
Individual
Gender
Male
Address
1085 Sanders Ave, Clovis, CA, 93619-3935
Phone Number
408-449-6623
Fax Number
Provider Enumeration Date
12/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1085 Sanders Ave
City
State
Zip
93619-3935
Phone Number
408-449-6623
Fax Number
person
Provider Business Mailing Address Details
Address
1085 Sanders Ave
City
State
Zip
93619-3935
Phone Number
408-449-6623
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R244114 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95043929 (California)
Definition
Definition to come...
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