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MONICK FANBA
NPI 1093196990
Physician Assistant - Medical in Upper Marlboro, MD

Active since June 16, 2015
2502 MOORES PLAINS BLVD, UPPER MARLBORO, MD 20774(240) 510-5218 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monick Fanba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONICK FANBA (NPI 1093196990) is an individual medical provider in Upper Marlboro, Maryland, licensed in Maryland (C0005761) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1093196990
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMONICK FANBA
Location Address2502 MOORES PLAINS BLVDUpper Marlboro, MD 20774-8027
Mailing Address2502 Moores Plains BlvdUpper Marlboro, MD 20774-8027 · (240) 510-5218
Phone(240) 510-5218
Sole ProprietorYes
Enumeration DateJune 16, 2015
✔ NPI 1093196990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0005761
2502 MOORES PLAINS BLVD, Upper Marlboro, MD 20774
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monick Fanba's NPI number?

The NPI number for Monick Fanba is 1093196990. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Monick Fanba located?

Monick Fanba practices at 2502 Moores Plains Blvd, Upper Marlboro, MD 20774. The listed phone number is (240) 510-5218.

What is Monick Fanba's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Monick Fanba was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.