Provider Demographics
NPI:1588453336
Name:RAO, ANUGEETA (CNP)
Entity type:Individual
Prefix:
First Name:ANUGEETA
Middle Name:
Last Name:RAO
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 ACEQUIA BORRADA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-3072
Mailing Address - Country:US
Mailing Address - Phone:505-795-9683
Mailing Address - Fax:
Practice Address - Street 1:1335 ACEQUIA BORRADA
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-3072
Practice Address - Country:US
Practice Address - Phone:505-795-9683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM83651363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily