Individual
CHRISTINA RADOSEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
555 WASHINGTON SQUARE SHOPPING CTR, WASHINGTON, MO 63090-5343
(636) 390-1777
(636) 390-1778
Mailing address
555 WASHINGTON SQUARE SHOPPING CTR, WASHINGTON, MO 63090-5343
(636) 390-1777
(636) 390-1778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019031443
MO
363LF0000X
Family Nurse Practitioner
209019962
IL
Other
Enumeration date
01/25/2020
Last updated
04/21/2022
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