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Katherine M Radakovich, FNP-BC
Family Nurse Practitioner in Bangor, Michigan
NPI 1043330798

Katherine M Radakovich is a Family Nurse Practitioner based in Bangor, MI and is specialized in Family. Katherine M Radakovich practices in Bangor, MI and has the professional credentials of FNP-BC. The NPI Number for Katherine M Radakovich is 1043330798 and holds a License No. 857942 (Michigan).

The current practice location address for Katherine M Radakovich is 803 W Arlington St, Bangor, MI and can be reached out via phone at 269-427-6810 and via fax at 269-427-6811.

Location: 803 W Arlington St, Bangor, MI, 49013-1108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043330798
Provider Name
Katherine M Radakovich
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
803 W Arlington St, Bangor, MI, 49013-1108
Phone Number
269-427-6810
Fax Number
269-427-6811
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003650500 05 FL
institution
Provider Business Practice Location Address Details
Address
803 W Arlington St
City
Bangor
State
Michigan
Zip
49013-1108
Phone Number
269-427-6810
Fax Number
269-427-6811
person
Provider Business Mailing Address Details
Address
803 W Arlington St
City
Bangor
State
Michigan
Zip
49013-1108
Phone Number
269-427-6810
Fax Number
269-427-6811
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
1139 (Alaska)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
857942 ()
Definition
Definition to come...
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