Individual
LAURA ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
250 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5600
(616) 685-6745
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704235109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200338221
TRICARE
MI
05
—
4823034
—
MI
01
—
5008705720
BCBSM
MA
Enumeration date
06/28/2006
Last updated
11/23/2016
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