Doctor Name: | MS. CHRISTINE ANN RADA |
NPI Number: | 1255538971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-C |
License Number: | CA 335135, NPF9481 |
Business Practice Address: | 3113 Corte Cabrillo Aptos, CA - 950033162 |
Business Phone Number: | 8314796435 |
Business Fax Number: | 8314775634 |
Mailing Address: | 3113 Corte Cabrillo, APTOS |
State: | CA |
Postal Code: | 950033162 |
Phone Number: | 8314796435 |
Fax Number: | 8314775634 |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CA 335135, NPF9481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |