Individual
NITHIN PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7164
(717) 267-7414
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024170641
VA
367500000X
Certified Registered Nurse Anesthetist
RN1035275
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
TLRN061071
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103849440
—
PA
01
—
12652537
CAQH
—
01
—
1639418668
NPI
—
01
—
91334
AANA
—
Enumeration date
02/12/2013
Last updated
03/18/2025
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