Individual provider · Type 1 NPI
Denise Kathryn Krackenberger, ACNP
Acute Care Nurse Practitioner · Mcminnville, OR
NPI number
1316101082
Active
Practice location
2700 SE Stratus Ave Unit 406
Mcminnville, OR 97128-6258
Fax (503) 434-9572
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Other practice locations
- 6935 Full Harvest Ct., Cumming, GA 30028-4777 · (706) 344-2987
- 4420 Lake Boone Trl, Raleigh, NC 27607-7505 · (919) 784-3542
- 743 Spring St NE, Gainesville, GA 30501-3715 · (770) 219-8420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 5014649 (NC) |
| Acute Care Nurse Practitioner | 363LA2100X | RN151196 (GA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 201801073NP-PP (OR) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1316101082
Denise Kathryn Krackenberger, ACNP's National Provider Identifier is 1316101082, issued on Jul 11, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Mcminnville, OR. The record was last updated on May 15, 2024.