Individual
MISS NIVEDITA S RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-5011
(814) 272-6531
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(814) 272-5011
(814) 272-6531
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
668739
PA
367500000X
Certified Registered Nurse Anesthetist
1258294
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
668739
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN668739
PA
Other
Enumeration date
04/25/2018
Last updated
02/20/2026
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