Individual
BARBARA J RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
115208-30
Contact information
Practice address
1467 HARDER CT, ROCKFORD, IL 61103-1113
(815) 633-5988
Mailing address
1467 HARDER CT, ROCKFORD, IL 61103-1113
(815) 633-5988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115208-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38229500
—
WI
Enumeration date
11/28/2010
Last updated
11/28/2010
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