Ravella, Patricia C.

Ravella, Patricia C. is an individual health care provider with primary practice located at 10814 Hickory Ridge Road Dr Nadu Tuakli Family Practice And Anti-Aging, Columbia MD 21044-3622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ravella, Patricia C. can be contacted via phone (410) 531-1440.

Contact Information

Primary practice address
10814 Hickory Ridge Road Dr Nadu Tuakli Family Practice And Anti-Aging Columbia MD 21044-3622
Phone: (410) 531-1440
Fax: (410) 531-1412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R138110 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC001038FNP Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17737RNAPRNFNP South Carolina

Profile Details

NPI number 1700922572
LBN Legal business name Ravella, Patricia C.
Credentials CRNP, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700922572 NPPES
Maryland MEDICAID 227500700

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