Individual
MS. DIANE MARIE ACKROYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMPNP-BC
Contact information
Practice address
4255 CAMPUS DR STE A245, IRVINE, CA 92612-8630
(888) 699-4873
Mailing address
4255 CAMPUS DR STE A245, IRVINE, CA 92612-8630
(888) 699-4873
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95016167
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F400-600-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02205310
—
NY
Enumeration date
06/10/2006
Last updated
07/30/2021
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