Individual
MS. MARY ELIZABETH ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2370
Mailing address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2479
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
218003
CA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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