person
Cindy Jean Radavich, APRN
Primary Care Nurse Practitioner in Dalton Gardens, Idaho
NPI 1295465011

Cindy Jean Radavich is a Primary Care Nurse Practitioner based in Dalton Gardens, ID and is specialized in Primary Care. Cindy Jean Radavich practices in Dalton Gardens, ID and has the professional credentials of APRN. The NPI Number for Cindy Jean Radavich is 1295465011 and holds a License No. APRN-CNP54724 (Idaho).

The current practice location address for Cindy Jean Radavich is 5920 N Govt Way Ste 2, Dalton Gardens, ID and can be reached out via phone at 208-696-4462.

Location: 5920 N Govt Way Ste 2, Dalton Gardens, ID, 83815-9200
person
Provider Profile Details
NPI Number
1295465011
Provider Name
Cindy Jean Radavich
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
5920 N Govt Way Ste 2, Dalton Gardens, ID, 83815-9200
Phone Number
208-696-4462
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5920 N Govt Way Ste 2
City
State
Zip
83815-9200
Phone Number
208-696-4462
Fax Number
person
Provider Business Mailing Address Details
Address
5920 N Govt Way Ste 2
City
State
Zip
83815-9200
Phone Number
208-696-4462
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
APRN-CNP54724 (Idaho)
Definition
Definition to come...
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