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Individual
TRINETTE L RADASA
Active
Individual
TRINETTE L RADASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS, FNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP-01898
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10023195
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010084
CA
364SA2200X
Adult Health Clinical Nurse Specialist
R44432
NM
Other
Enumeration date
06/02/2009
Last updated
05/22/2024
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