Individual
MRS. BETTINA ACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD421508
PA
208000000X
Pediatrics Physician
Primary
MD-14181
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001965840
—
PA
Enumeration date
02/01/2006
Last updated
05/26/2021
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