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MS. MARY ELIZABETH ACKERMAN NP
Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1154406155
Individual Registrant:MS. MARY ELIZABETH ACKERMAN NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
901 NEVIN AVE RICHMOND, CA 94801-3143 US
Tel: 510-307-2370 Fax: --
Tel: 510-307-2370 Fax: --
Contact information for business:
901 NEVIN AVE RICHMOND, CA 94801-3143 US
Tel: 510-307-2479 Fax: --
Tel: 510-307-2479 Fax: --
Registration Information:
NPI: 1154406155
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health | CA | 218003 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
