Individual
KIMBERLY L. ACKERMAN
Active
Individual
KIMBERLY L. ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN26870
MT
363LA2200X
Adult Health Nurse Practitioner
Primary
NUR-APRN-LIC-100462
MT
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-100462
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-100504
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370601
MT MDCD BCBS
MT
01
—
123149900
MT MDCD PIN
MT
01
—
4308772
MT MDCD PIN
MT
01
—
CI3483
RAILROAD MEDICARE
MT
01
—
P00013861
RAILROAD MEDICARE
MT
Enumeration date
07/10/2006
Last updated
02/24/2022
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