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MRS. TARA MARIE ACKERLY FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1831331602

Individual Registrant:
MRS. TARA MARIE ACKERLY FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
41 GERMANTOWN RD STE B05 ANTICOAGULATION CENTER DANBURY, CT 06810-4087 US
Tel: 203-739-7372  Fax: --

Contact information for business:
41 GERMANTOWN RD STE B05 ANTICOAGULATION CENTER DANBURY, CT 06810-4087 US
Tel: 203-739-7372  Fax: --

Registration Information:
NPI: 1831331602
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CT3624
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
NYF333573-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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