Individual ProviderKristine Lynette RaderRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1200PECOS EnrollmentBased on the most recent information from CMS, provider Kristine Lynette Rader does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366689655Provider TypeIndividualFull NameRader, Kristine LynetteCredentialRNGenderFemaleSole ProprietorNoEnumeration Date1/8/2009Last Updated1/8/2009Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1200Fax(602) 263-1631Mailing LocationMailing AddressPO Box 31001-0698, Pasadena, CA 91110-0001Phone(602) 263-1200Fax(602) 263-1631Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN128307Arizona