Individual
CINDY JEAN RADAVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5920 N GOVT WAY STE 2, DALTON GARDENS, ID 83815-9200
(208) 696-4462
Mailing address
5920 N GOVT WAY STE 2, DALTON GARDENS, ID 83815-9200
(208) 696-4462
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-CNP54724
ID
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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