Individual
MRS. PADMAVATHI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(201) 967-4141
Mailing address
8 TAVARONR STREET, GARNERVILLE, NY 10923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NJ2600347800
NJ
363LX0106X
Occupational Health Nurse Practitioner
26NJ00347800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283011
—
NJ
Enumeration date
10/12/2011
Last updated
06/27/2017
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