Individual provider · Type 1 NPI

Ivan Racadag, AGPCNP-BC

Adult Health Nurse Practitioner · Ashburn, VA

NPI number 1083062392 Active

Practice location

20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905

Mailing address

2 University Plz Ste 204
Hackensack, NJ 07601-6211

Other practice locations

  • 39 V St NE, Washington, DC 20002-1329 · (551) 295-8223
  • 1604 Spring Hill Rd, Suite 450, Vienna, VA 22182-7510 · (571) 599-5643

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001230039 (VA)
Adult Health Nurse Practitioner Primary 363LA2200X0024173957 (VA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1083062392

Ivan Racadag, AGPCNP-BC's National Provider Identifier is 1083062392, issued on May 26, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ashburn, VA. The record was last updated on Jun 11, 2026.