Cindy Jean Radavich, APRN is a
Nurse Practitioner - Primary Care based in Dalton Gardens, Idaho. Cindy Jean Radavich is licensed to practice in Idaho (license number APRN-CNP54724) and her current practice location is
5920 N Govt Way Ste 2, Dalton Gardens, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 696-4462.
NPI number for Cindy Jean Radavich is 1295465011 and her current mailing address is 5920 N Govt Way Ste 2, Dalton Gardens, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295465011.
Provider's Profile
Full Name | Cindy Jean Radavich |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 5920 N Govt Way Ste 2, Dalton Gardens, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295465011
- Provider Enumeration Date: 06/14/2022
- Last Update Date: 06/14/2022
Medical Identifiers
Medical identifiers for Cindy Jean Radavich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295465011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | APRN-CNP54724 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cindy Jean Radavich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cindy Jean Radavich, APRN 5920 N Govt Way Ste 2, Dalton Gardens, ID 83815-9200 Ph: (208) 696-4462 | Cindy Jean Radavich, APRN 5920 N Govt Way Ste 2, Dalton Gardens, ID 83815-9200 Ph: (208) 696-4462 |
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