Individual
CAROL ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
262 NEIL AVE, COLUMBUS, OH 43215-2362
(614) 827-6600
(614) 827-6690
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN092828
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000268879
ANTHEM
—
05
—
2290515
—
OH
Enumeration date
06/21/2006
Last updated
08/21/2007
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