Provider Demographics
NPI:1295249290
Name:RADEMAN-ALONSO, ERIN MARIE (CNP-F)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MARIE
Last Name:RADEMAN-ALONSO
Suffix:
Gender:F
Credentials:CNP-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65556-0777
Mailing Address - Country:US
Mailing Address - Phone:573-765-5141
Mailing Address - Fax:573-765-3122
Practice Address - Street 1:404 W US HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-6943
Practice Address - Country:US
Practice Address - Phone:573-317-9200
Practice Address - Fax:573-317-9202
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017037190363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily