Individual
MRS. CARRIE A MCCRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, ANESTHESIA DEPT, HUNTSVILLE, AL 35801-4421
(256) 265-8120
(256) 265-8969
Mailing address
PO BOX 1389, HUNTSVILLE, AL 35807-0389
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-063681
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051533367
—
AL
01
—
51533367
BCBSAL #
AL
Enumeration date
07/13/2006
Last updated
11/16/2017
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