Individual provider · Type 1 NPI
Cindy Jean Radavich, APRN
Primary Care Nurse Practitioner · Dalton Gardens, ID
NPI number
1295465011
Active
Practice location
5920 N Govt Way Ste 2
Dalton Gardens, ID 83815-9200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN-CNP54724 (ID) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1295465011
Cindy Jean Radavich, APRN's National Provider Identifier is 1295465011, issued on Jun 14, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dalton Gardens, ID. The record was last updated on Jun 14, 2022.