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Individual

MISS ANGELA M RAVOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4214
(878) 332-4468
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 933-2421
(878) 332-4468

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP023923
PA
363LF0000X
Family Nurse Practitioner
Primary
SP023923
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104018599
PA
Enumeration date
06/29/2021
Last updated
02/27/2023
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