Individual
CARMEN RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNP
Contact information
Practice address
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 419-0593
(208) 524-1222
Mailing address
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 419-0593
(208) 524-1222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1660A
ID
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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