Individual
DENISE KATHRYN KRACKENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2700 SE STRATUS AVE UNIT 406, MCMINNVILLE, OR 97128-6258
(503) 435-1200
(503) 434-9572
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201801073NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
5014649
NC
363LA2100X
Acute Care Nurse Practitioner
RN151196
GA
Other
Enumeration date
07/11/2008
Last updated
05/15/2024
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