Radasa, Trinette L

Radasa, Trinette L is an individual health care provider with primary practice located at 2489 Larkspur Dr , Alpine CA 91901-1334. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Radasa, Trinette L can be contacted via phone (575) 639-0139.

Contact Information

Primary practice address
2489 Larkspur Dr Alpine CA 91901-1334
Phone: (575) 639-0139
Fax: (619) 324-4188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-01898 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10023195 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X R44432 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95010084 California

Profile Details

NPI number 1922234210
LBN Legal business name Radasa, Trinette L
Credentials ACNS, FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated May 22nd, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922234210 NPPES
New Mexico Other 1201473 CAQH ID

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