Provider Demographics
NPI:1891473534
Name:NDI, PAMELA ITANGHI
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:ITANGHI
Last Name:NDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 FONTAINEBLEAU DR APT 403
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3836
Mailing Address - Country:US
Mailing Address - Phone:240-714-0818
Mailing Address - Fax:
Practice Address - Street 1:7600 FONTAINEBLEAU DR APT 403
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3836
Practice Address - Country:US
Practice Address - Phone:240-714-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No104100000XBehavioral Health & Social Service ProvidersSocial Worker