Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Monick Fanba

Individual provider Medical Physician Assistant · NPI 1093196990

Monick Fanba is a Medical Physician Assistant in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2015
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Practice location Address checks out

2502 Moores Plains Blvd
Upper Marlboro, MD 20774-8027
Phone: (240) 510-5218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0005761 (MD)

Record details

NPI number1093196990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 16, 2015