Individual
CHERRI RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 WASHINGTON AVE N, SUITE 5000, MINNEAPOLIS, MN 55401-1377
(612) 659-7111
Mailing address
333 WASHINGTON AVE N, SUITE 5000, MINNEAPOLIS, MN 55401-1377
(612) 659-7111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
657394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9148
BLUE SHIELD
TX
01
—
P00269378
RR/MEDICARE
TX
Enumeration date
04/07/2006
Last updated
07/08/2007
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