Healthcare Provider Details

I. General information

NPI: 1598626004
Provider Name (Legal Business Name): PAMELA CHINWE ORIAKU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 KINGSLEY ST
HOLBROOK MA
02343-1938
US

IV. Provider business mailing address

27 KINGSLEY ST
HOLBROOK MA
02343-1938
US

V. Phone/Fax

Practice location:
  • Phone: 857-327-1727
  • Fax:
Mailing address:
  • Phone: 857-327-1727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2314438
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: