Individual
MATTHEW MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8111 S EMERSON AVE FL 5, INDIANAPOLIS, IN 46237-8601
(317) 528-6298
(317) 528-8532
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28157506A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71012225A
IN
Other
Enumeration date
02/02/2022
Last updated
10/11/2023
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