Chantal N Fokum, CRNP
Nurse Practitioner, Adult Health in Huntingtown, Maryland
1558026542- Practice location
- 1512 Larkspur CT, Huntingtown, MD 20639-2314
- Phone
- 240-593-3792
- Fax
- —
- Last updated
- September 12, 2025
Chantal Nyefen Fokum is a Nurse Practitioner, Adult Health based in Huntingtown, MD. Chantal Nyefen Fokum practices in Huntingtown, MD and has the professional credentials of CRNP. The NPI Number for Chantal Nyefen Fokum is 1558026542 and holds a License No. R162268 (MD). The current practice location address for Chantal Nyefen Fokum is 1512 Larkspur CT, Huntingtown, MD 20639-2314 and can be reached out via phone at 240-593-3792.
Provider Profile Details
- NPI Number
- 1558026542
- Provider Name
- Chantal Nyefen Fokum
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1512 Larkspur CT, Huntingtown, MD 20639-2314
- Phone Number
- 240-593-3792
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 3, 2021
- Last Update Date
- September 12, 2025
- Certification Date
- September 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1512 Larkspur CT
Huntingtown, MD 20639-2314 - City
- Huntingtown
- State
- Maryland
- Zip
- 20639-2314
- Phone Number
- 240-593-3792
Provider Business Mailing Address Details
- Address
- 2 University Plz Ste 204
Hackensack, NJ 07601-6211 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6211
- Phone Number
- 551-295-8223
License Information
- License Number (1)
- R162268
- License State (1)
- MD
- Taxonomy (1)
- Nurse Practitioner, Gerontology · 363LG0600X
- License Number (2)
- R162268
- License State (2)
- MD
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Adult Health providers near Huntingtown, MD
View all Nurse Practitioner, Adult Health providers in Huntingtown →Frequently Asked Questions
What is the NPI number of Chantal N Fokum, CRNP?
The NPI number of Chantal N Fokum, CRNP is 1558026542. It was assigned on November 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Chantal N Fokum, CRNP?
Chantal N Fokum, CRNP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MD under license number R162268.
Where does Chantal N Fokum, CRNP practice?
The practice location is 1512 Larkspur CT, Huntingtown, MD 20639-2314. The office can be reached at 240-593-3792 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558026542 directly on the NPPES registry website.