Individual provider · Type 1 NPI
Ira Steven Racadag, APRN
Psychiatric/Mental Health Nurse Practitioner · Mountain City, GA
NPI number
1922540277
Active
Practice location
95 Golden Hills Dr. Ste. D
Mountain City, GA 30562-2025
Fax (762) 212-4368
Mailing address
125 N Main St Unit 1170
Clayton, GA 30525-4698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN264829 (GA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11015334 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1922540277
Ira Steven Racadag, APRN's National Provider Identifier is 1922540277, issued on Nov 16, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mountain City, GA. The record was last updated on Nov 4, 2024.