Individual
MRS. ELLEN MARIE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-6490
(775) 770-3944
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PA963
NV
363AM0700X
Medical Physician Assistant
Primary
PA963
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538179775
NPI ENUMERATOR
NV
05
—
Q73043
—
NV
Enumeration date
08/09/2006
Last updated
04/05/2016
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