Individual
TRINETTE L RADASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS, FNP, PMHNP
Contact information
Practice address
2489 LARKSPUR DR, ALPINE, CA 91901-1334
(575) 639-0139
(619) 324-4188
Mailing address
2489 LARKSPUR DR, ALPINE, CA 91901-1334
(575) 639-0139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP-01898
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10023195
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010084
CA
364SA2200X
Adult Health Clinical Nurse Specialist
R44432
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201473
CAQH ID
NM
Enumeration date
06/02/2009
Last updated
05/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us