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NPI Code Detail

MEDICARE: MRS. JULIE MCCRACKIN CRNA, MS

MEDICARE: MRS. JULIE MCCRACKIN CRNA, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1927MN
2367500000XCertified Registered Nurse AnesthetistCRNA0600AZ
3367500000XCertified Registered Nurse AnesthetistRN117432AZ

General Provider Information

NPI Number : 1962655506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE MCCRACKIN CRNA, MS
Provider Business Mailing Address
First Line : 5777 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4502
Country : US
Telephone Number : 480-342-5578
Fax Number :
Provider Business Practice Location Address
First Line : 5777 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4502
Country : US
Telephone Number : 480-342-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 03/22/2026

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