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Individual

MS. MONA LEE MCCRACKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4706 JEFFERS RD, EAU CLAIRE, WI 54703-9635
(715) 226-0740
Mailing address
4706 JEFFERS RD, EAU CLAIRE, WI 54703-9635
(715) 226-0740

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74220-030
WI
163WH0200X
Home Health Registered Nurse
Primary
74220-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38319800
WI
Enumeration date
11/06/2006
Last updated
09/11/2025
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