Individual
AMANDA ACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 GUERNSEY ST, NORWICH, NY 13815-1326
(607) 336-1980
Mailing address
43 GUERNSEY ST, NORWICH, NY 13815-1326
(607) 336-1980
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304333-1
NY
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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