Individual
MISS PATRICIA C. RAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PHD
Contact information
Practice address
10814 HICKORY RIDGE ROAD, DR NADU TUAKLI FAMILY PRACTICE AND ANTI-AGING, COLUMBIA, MD 21044-3622
(410) 531-1440
(410) 531-1412
Mailing address
10814 HICKORY RIDGE ROAD, DR NADU TUAKLI FAMILY PRACTICE AND ANTI-AGING, COLUMBIA, MD 21044-3622
(410) 992-0178
(410) 992-1606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17737RNAPRNFNP
SC
363LF0000X
Family Nurse Practitioner
Primary
AC001038FNP
MD
363LF0000X
Family Nurse Practitioner
R138110
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227500700
—
MD
Enumeration date
01/29/2007
Last updated
07/12/2012
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