Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CINDY JEAN RADAVICH, APRN
Active Sole ProprietorCINDY JEAN RADAVICH, APRN is a Primary Care Nurse Practitioner healthcare provider located in DALTON GARDENS, Idaho. NPI 1295465011 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · DALTON GARDENS, ID
Registration Details
- NPI Number
- 1295465011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2022 (4.1230082993597 yrs)
- Last Updated
- Jun 14, 2022
- License
-
APRN-CNP54724 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5920 N GOVT WAY STE 2DALTON GARDENS, ID, 838159200Browse ID providers · Browse ZIP 83815
- Phone
- 2086964462
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.