Individual
IDA MARIE REDICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
897 IRONWOOD DR STE B, MINDEN, NV 89423-5198
(775) 782-1610
Mailing address
2162 COURT SIDE CIR, CARSON CITY, NV 89703-7362
(775) 671-0669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
848652
NV
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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