LINDA FONJU (NPI# 1801300470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801300470 |
| Entity Type | Individual |
| Full Name | LINDA FONJU |
| Credential | FNP |
| Practice Address |
14644 Wexhall Ter Burtonsville MD 20866-1911 |
| Practice Telephone | 7062019680 |
| Practice Fax Number | 7062019680 |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R204826 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN1038980 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14644 WEXHALL TER |
| City | BURTONSVILLE |
| State | MD |
| Zip Code | 20866-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356717 | Kristin Sagun | Psychologist | 3901 National Drive, Suite #100, Burtonsville, MD 20866 | 2020-02-02 |
| 1093299208 | Jennifer L Wood | Doula | 4301 Ambrose Ct, Burtonsville, MD 20866 | 2018-09-24 |
| 1770092363 | Carolina Mattos | Behavior Technician | 4402 Meanderwood Dr, Burtonsville, MD 20866 | 2017-09-26 |
| 1942728233 | Peggy Sue Bruce | Behavior Technician | 4401 Bender Court, Burtonsville, MD 20866 | 2017-09-06 |
| 1376919902 | Ovetta Lorraine Harris | Speech-Language Pathologist | 14705 Perrywood Drive, Burtonsville, MD 20866 | 2015-08-18 |
| 1639552540 | Theresia Ajenanyi Atechong | Home Health Aide | 13518 Greencastle Ridge Ter Apt 402, Burtonsville, MD 20866 | 2015-07-09 |
| 1720405111 | Benedict Obi | Registered Nurse | 4301 Sgar Pine Ct, Burtonsville, MD 20866 | 2014-03-24 |
| 1023430337 | Etienne Dimbeck | Home Health Aide | 3671 Autumn Glenn Circle, Boturnsville, MD 20866 | 2014-01-07 |
| 1295089001 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866 | 2012-10-31 |
| 1538412515 | Dorothy Kembong Taylor | Home Health Aide | 43 Scarlet Sage Court, Burtonsville, MD 20866 | 2012-10-16 |
| Find all providers in zip 20866 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044279 | Nadine G Kakanou | Nurse Practitioner | 14760 Mcknew Rd, Burtonsville, MD 20866-1358 | 2020-02-05 |
| 1629618624 | Eliane Sandrine Tueche Fankam | Nurse Practitioner | 4401 Saddle Creek Way, Burtonsville, MD 20866-2206 | 2020-01-08 |
| 1134760036 | Wubeshet Tesema | Nurse Practitioner | 14914 Saddle Creek Dr, Burtonsville, MD 20866-2208 | 2019-10-01 |
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| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | BURTONSVILLE |
| Zip Code | 20866 |
Please comment or provide details below to improve the information on LINDA FONJU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.