| Doctor Name: | WANDA SUE MCCRACKEN |
| NPI Number: | 1174579783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 1389655032 |
| Business Practice Address: | 2223 College St Goodland, KS - 677358825 |
| Business Phone Number: | 7858902189 |
| Business Fax Number: | |
| Mailing Address: | Po Box 315, GOODLAND |
| State: | KS |
| Postal Code: | 677350315 |
| Phone Number: | 7858902189 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 1389655032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |