| NPI | 1013447168 |
|---|---|
| Former Name | ANGELA K MCCRACKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704356235) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO RXN.0103213-NP) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2019-09-11 |