IndividualActive
Belinda Fomba
NPI 1194434738 · Psychiatric/Mental Health Nurse Practitioner · Fort Defiance, AZ
Provider details
- NPI number
- 1194434738
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 219337 (AZ)
Practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Phone: (928) 729-8000
Mailing address
Po Box 649
Fort Defiance, AZ 86504-0649
Registry dates
- Enumerated
- 2022-11-22
- Last updated
- 2023-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.