# DARRELL RADER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114706611
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN.383831 | OH | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN.383831 | OH | Yes |

## Other

- **Enumeration date:** 09/25/2023
- **Last updated:** 06/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2910854 | — | OH |