Individual
ELYSSA ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3420 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87106-1238
(505) 738-3100
Mailing address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008-9557
(505) 814-1995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-1023
NM
Other
Enumeration date
05/13/2014
Last updated
09/23/2021
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