Individual
ELLIE R MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
364 MURPHYS GRADE RD, ANGELS CAMP, CA 95222-9133
(209) 736-8381
(209) 736-8383
Mailing address
323 S MAIN ST, PO BOX 7000/21, ANGELS CAMP, CA 95221
(209) 736-8381
(209) 736-8383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
768111
CA
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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