AMANDA KATHERINE RADAN
NPI 1417413162
Licensed Practical Nurse in Phoenix, AZ

Q: What is Amanda Radan's NPI number?

The NPI number for Amanda Radan is 1417413162. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Q: What is Amanda Radan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Radan was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2019

10251 N 35TH AVE, PHOENIX, AZ 85051(602) 995-7366 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Katherine Radan NPPES

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

AMANDA KATHERINE RADAN (NPI 1417413162) is an individual licensed practical nurse in Phoenix, Arizona, licensed in Arizona (147222) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1417413162

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMANDA KATHERINE RADAN

Location Address10251 N 35TH AVEPhoenix, AZ 85051-1305

Mailing Address10251 N 35th AvePhoenix, AZ 85051-1305 · (602) 995-7366

Phone(602) 995-7366

Sole ProprietorNo

Enumeration DateFebruary 19, 2019

✔ NPI 1417413162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AZ · 147222

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

10251 N 35TH AVE, Phoenix, AZ 85051

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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