MEDICARE: DANIEL AWA FONJUNGO RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	809827	TX

General Provider Information

NPI Number	:	1619833068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL AWA FONJUNGO RN

Provider Business Mailing Address
First Line	:	26 GREENWOOD CT
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2047
Country	:	US
Telephone Number	:	410-329-0558
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 GREENWOOD CT
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2047
Country	:	US
Telephone Number	:	410-329-0558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

Similar Medicare Providers

1780541557 — D.A. HEALTHCARE INNOVATIONS L.L.C.
Practice Location Address:

26 GREENWOOD CT
GLEN BURNIE, MD
21061-2047

Practice Phone: 443-551-5089
Practice Fax:

1811947039 — JENNY JONES CRNP, NP-C
Practice Location Address:

1600 CRAIN HWY S STE 503
GLEN BURNIE, MD
21061-6443

Practice Phone: 443-354-1200
Practice Fax:

1699618587 — OLUBUSAYO ABAYOMI AJAYI FNP-BC
Practice Location Address:

1916 CRAIN HWY S STE 10
GLEN BURNIE, MD
21061-5565

Practice Phone: 410-760-0098
Practice Fax:

1912840802 — DR. DONYAE NUBIAN-ROSE BROWN PHARMD
Practice Location Address:

301 HOSPITAL DR
GLEN BURNIE, MD
21061-5803

Practice Phone: 410-787-4000
Practice Fax:

1245174010 — JILLIAN JOHNSON PHARMD
Practice Location Address:

301 HOSPITAL DR
GLEN BURNIE, MD
21061-5803

Practice Phone: 410-553-8344
Practice Fax:

1417891284 — AUGUST ROSE HEALTH CENTER, LLC
Practice Location Address:

7477 BALTIMORE ANNAPOLIS BLVD STE 205.206
GLEN BURNIE, MD
21061-3504

Practice Phone: 410-412-7791
Practice Fax:

Directions to “ DANIEL AWA FONJUNGO RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.