Individual
PAMELA FRU TANGE ORIAIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12150 ANNAPOLIS RD STE 205, GLENN DALE, MD 20769-9183
(240) 476-4081
(240) 632-0737
Mailing address
PO BOX 44112, FORT WASHINGTON, MD 20749-4112
(240) 476-4081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R199916
MD
163W00000X
Registered Nurse
RN1026242
DC
363LF0000X
Family Nurse Practitioner
R199916
MD
363LF0000X
Family Nurse Practitioner
RN1026242
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R199916
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1026242
DC
Other
Enumeration date
01/07/2020
Last updated
03/24/2026
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