Individual
MRS. DELYTHE JEAN KRACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1075 TOLLAND TPKE, MANCHESTER, CT 06042-1609
(860) 647-4796
Mailing address
35 VINETTA DR, VERNON, CT 06066-4011
(860) 872-3004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001610
CT
Other
Enumeration date
07/14/2006
Last updated
07/31/2007
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