Individual
CONNIE SUE RACKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137212
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
NP02547
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450637
—
OH
Enumeration date
10/20/2005
Last updated
09/25/2014
Update your record
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