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Individual

KIMBERLY ANNE MURPHY ACKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
5228 OUTRIGGER WAY, OXNARD, CA 93035-1823
(661) 478-0844
Mailing address
5228 OUTRIGGER WAY, OXNARD, CA 93035-1823
(661) 478-0844

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
613081
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
17532
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20A104660
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
02/15/2008
Last updated
04/30/2023
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