Radavich, Cindy Jean

Radavich, Cindy Jean is an sole proprietor health care provider with primary practice located at 5920 N Govt Way Ste 2 , Dalton Gardens ID 83815-9200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Radavich, Cindy Jean can be contacted via phone (208) 696-4462.

Contact Information

Primary practice address
5920 N Govt Way Ste 2 Dalton Gardens ID 83815-9200
Phone: (208) 696-4462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN-CNP54724 Idaho

Profile Details

NPI number 1295465011
LBN Legal business name Radavich, Cindy Jean
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2022
Last updated Jun 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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