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Individual
MS. MONA LEE MCCRACKIN
Active
Individual
MS. MONA LEE MCCRACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74220-030
WI
163WH0200X
Home Health Registered Nurse
Primary
74220-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38319800
—
WI
Enumeration date
11/06/2006
Last updated
09/11/2025
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