# TRINETTE L RADASA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922234210
- **Gender:** F
- **Credential:** ACNS, FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | CNP-01898 | NM | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10023195 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95010084 | CA | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | R44432 | NM | — |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 05/22/2024