Individual
CONNIE SUE RACKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
334 E MILLTOWN RD, WOOSTER, OH 44691
(330) 345-7798
(330) 345-7225
Mailing address
334 E MILLTOWN RD, WOOSTER, OH 44691
(330) 345-7798
(330) 345-7225
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
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