IndividualActive
Cindy Radavich, APRN
NPI 1295465011 · Primary Care Nurse Practitioner · Dalton Gardens, ID
Provider details
- NPI number
- 1295465011
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- APRN-CNP54724 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5920 N Govt Way Ste 2
Dalton Gardens, ID 83815-9200
Phone: (208) 696-4462
Approximate (ZIP-level) locationGet directions
Mailing address
5920 N Govt Way Ste 2
Dalton Gardens, ID 83815-9200
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.