CONNIE SUE RACKOW CNP NPI 1043209281

NPI Information

NPI: 1043209281
Provider Name: CONNIE SUE RACKOW, CNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
334 E MILLTOWN RD
WOOSTER, OH
ZIP 44691
Phone: (330) 345-7798
Get Directions

Connie Sue Rackow, CNP is a women's health nurse practitioner in Wooster, OH. Connie Sue Rackow, CNP NPI is 1043209281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

334 E MILLTOWN RD
WOOSTER, OH
ZIP 44691
Phone: (330) 345-7798
Fax: (330) 345-7225

The enumeration date for this NPI number is 10/20/2005 and was last updated on 9/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN137212	OHIO	No
2	363LW0102X	Nurse Practitioner	Women's Health	NP02547	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2450637	MEDICAID	OHIO
2	NP05794	MEDICARE PIN	OHIO
3	P7438	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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