MS. MAUREEN HARRIS MCCRACKEN


Address: 489a Carlisle Drive, Ste B, Herndon, VA 20171-4897
Phone: 7037936033

MS. MAUREEN HARRIS MCCRACKEN (NPI# 1891804845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891804845
Entity Type Individual
Full Name MS. MAUREEN HARRIS MCCRACKEN
Credential APRN, BC
Practice Address 489a Carlisle Drive
Ste B
Herndon
VA 20171-4897
Mailing Address Po Box 3618
Reston
VA 20195-1618
Practice Telephone 7037936033
Mailing Telephone 7036063285
Mailing Fax Number 7034351961
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
0015000155 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 489A CARLISLE DRIVE
STE B
City HERNDON
State VA
Zip Code 20171-4897

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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City HERNDON
Zip Code 20171

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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