Individual
MRS. TARA MARIE ACKERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
41 GERMANTOWN RD STE B05, ANTICOAGULATION CENTER, DANBURY, CT 06810-4087
(203) 739-7372
Mailing address
41 GERMANTOWN RD STE B05, ANTICOAGULATION CENTER, DANBURY, CT 06810-4087
(203) 739-7372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3624
CT
363LF0000X
Family Nurse Practitioner
Primary
F333573-1
NY
Other
Enumeration date
03/25/2009
Last updated
09/01/2011
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