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CINDY JEAN RADAVICH APRN
NPI 1295465011
Nurse Practitioner - Primary Care in Dalton Gardens, ID

Active since June 14, 2022
5920 N GOVT WAY STE 2, DALTON GARDENS, ID 83815(208) 696-4462 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cindy Jean Radavich Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CINDY JEAN RADAVICH APRN (NPI 1295465011) is an individual primary care provider in Dalton Gardens, Idaho, licensed in Idaho (APRN-CNP54724) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1295465011
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCINDY JEAN RADAVICHCredential: APRN
Location Address5920 N GOVT WAY STE 2Dalton Gardens, ID 83815-9200
Mailing Address5920 N Govt Way Ste 2Dalton Gardens, ID 83815-9200 · (208) 696-4462
Phone(208) 696-4462
Sole ProprietorYes
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1295465011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in ID · APRN-CNP54724
5920 N GOVT WAY STE 2, Dalton Gardens, ID 83815
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cindy Radavich's NPI number?

The NPI number for Cindy Radavich is 1295465011. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Cindy Radavich located?

Cindy Radavich practices at 5920 N Govt Way Ste 2, Dalton Gardens, ID 83815. The listed phone number is (208) 696-4462.

What is Cindy Radavich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Cindy Radavich was last updated on June 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.