Organization · Type 2 NPI
Raydiance, LLC
Psychiatric/Mental Health Nurse Practitioner · Erwin, TN
NPI number
1962203554
Active
Practice location
218 Gay St
Erwin, TN 37650-1230
Fax (765) 225-5134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1962203554
Raydiance, LLC's National Provider Identifier is 1962203554, issued on Mar 20, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Erwin, TN. The record was last updated on Jun 10, 2026.