Individual
IVAN RACADAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
1604 SPRING HILL RD, SUITE 450, VIENNA, VA 22182-7510
(571) 599-5643
(703) 270-4350
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001230039
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024173957
VA
Other
Enumeration date
05/26/2016
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us