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MS. MARY ELIZABETH ACKERMAN NP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1154406155

Individual Registrant:
MS. MARY ELIZABETH ACKERMAN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
901 NEVIN AVE  RICHMOND, CA 94801-3143 US
Tel: 510-307-2370  Fax: --

Contact information for business:
901 NEVIN AVE  RICHMOND, CA 94801-3143 US
Tel: 510-307-2479  Fax: --

Registration Information:
NPI: 1154406155
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
CA218003

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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