Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elsa Kracke

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053707935

Elsa Kracke is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2601 E Roosevelt St Maricopa Integrated Health System
Phoenix, AZ 85008
Phone: (602) 344-1015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-14165 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053707935
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESMay 21, 2018

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