Healthcare Provider Details

I. General information

NPI: 1750086393
Provider Name (Legal Business Name): LINDA ROLYNE NGAHA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA TSASSONG FNP

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6915 LAUREL BOWIE RD
BOWIE MD
20715-1703
US

IV. Provider business mailing address

14508 MARY BOWIE PKWY
UPPER MARLBORO MD
20774-8846
US

V. Phone/Fax

Practice location:
  • Phone: 301-262-1087
  • Fax:
Mailing address:
  • Phone: 443-850-8758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR244343
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: