person
Trinette L Radasa, ACNS,FNP,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Alpine, California
NPI 1922234210

Trinette L Radasa is a Psychiatric/Mental Health Nurse Practitioner based in Alpine, CA and is specialized in Psychiatric/Mental Health. Trinette L Radasa practices in Alpine, CA and has the professional credentials of ACNS,FNP,PMHNP. The NPI Number for Trinette L Radasa is 1922234210 and holds a License No. CNP-01898 (California).

The current practice location address for Trinette L Radasa is 2489 Larkspur Dr, Alpine, CA and can be reached out via phone at 575-639-0139 and via fax at 619-324-4188.

Location: 2489 Larkspur Dr, Alpine, CA, 91901-1334
person
Provider Profile Details
NPI Number
1922234210
Provider Name
Trinette L Radasa
Credential
ACNS,FNP,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
2489 Larkspur Dr, Alpine, CA, 91901-1334
Phone Number
575-639-0139
Fax Number
619-324-4188
Provider Enumeration Date
06/02/2009
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1201473 01 NM CAQH ID
institution
Provider Business Practice Location Address Details
Address
2489 Larkspur Dr
City
State
Zip
91901-1334
Phone Number
575-639-0139
Fax Number
619-324-4188
person
Provider Business Mailing Address Details
Address
2489 Larkspur Dr
City
State
Zip
91901-1334
Phone Number
575-639-0139
Fax Number
619-324-4188
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R44432 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
10023195 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
CNP-01898 (New Mexico)
Definition
Definition to come...
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