Individual
MARY KATHLEEN MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2017022598
WV
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021969
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275191
—
OH
Enumeration date
12/20/2017
Last updated
05/29/2020
Update your record
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