Individual
DENISE MARIE RACICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3655
(330) 480-2900
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3655
(330) 480-2900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0032676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010920
—
OH
Enumeration date
01/04/2023
Last updated
12/20/2023
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