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MISS PATRICIA C. RAVELLA CRNP PHD NPI 1700922572


NPI Information

NPI: 1700922572
Provider Name: MISS PATRICIA C. RAVELLA, CRNP, PHD
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
10814 HICKORY RIDGE ROAD
DR NADU TUAKLI FAMILY PRACTICE AND ANTI-AGING
COLUMBIA, MD
ZIP 21044
Phone: (410) 531-1440
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MISS Patricia C. Ravella, CRNP, PHD is a family nurse practitioner in Columbia, MD. MISS Patricia C. Ravella, CRNP, PHD NPI is 1700922572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10814 HICKORY RIDGE ROAD
DR NADU TUAKLI FAMILY PRACTICE AND ANTI-AGING
COLUMBIA, MD
ZIP 21044-622
Phone: (410) 531-1440
Fax: (410) 531-1412

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily17737RNAPRNFNPSOUTH CAROLINANo
2363LF0000XNurse PractitionerFamilyR138110MARYLANDNo
3363LF0000XNurse PractitionerFamilyAC001038FNPMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S69523MEDICARE UPINMARYLAND
232013554MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
3227500700MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.