1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Home Health Aide
  6. NPI Profile

WILSON CHICK FANSO FOMUKOM
NPI 1912719717
Home Health Aide in Bowie, MD

Active since January 21, 2025
6421 GWINNETT LN, BOWIE, MD 20720(202) 604-4262 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wilson Chick Fanso Fomukom NPPES

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

WILSON CHICK FANSO FOMUKOM (NPI 1912719717) is an individual home health aide in Bowie, Maryland and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1912719717
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameWILSON CHICK FANSO FOMUKOM
Location Address6421 GWINNETT LNBowie, MD 20720-5320
Mailing Address6421 Gwinnett LnBowie, MD 20720-5320 · (202) 604-4262
Phone(202) 604-4262
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1912719717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

6421 GWINNETT LN, Bowie, MD 20720
Open in Google Maps ↗

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 Wilson Chick Fanso Fomukom's NPI number?

The NPI number for Wilson Chick Fanso Fomukom is 1912719717. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Wilson Chick Fanso Fomukom located?

Wilson Chick Fanso Fomukom practices at 6421 Gwinnett Ln, Bowie, MD 20720. The listed phone number is (202) 604-4262.

What is Wilson Chick Fanso Fomukom's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Wilson Chick Fanso Fomukom was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.