Individual
MARGARET M ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
301 VALLEY MALL WAY STE 110, MOUNT VERNON, WA 98273-5462
(360) 416-7013
Mailing address
765 ROUTE 70 E BLDG A, MARLTON, NJ 08053-2341
(856) 797-4740
(856) 466-9055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
119561
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200450023NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.007666
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60822873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183036
HEALTH ALLIANCE
IL
05
—
370966854006
—
IL
05
—
370966854011
—
IL
05
—
500817102
—
OR
01
—
640701
MEDICARE GROUP PIN NUMBER
IL
01
—
AP60822873
APN LICENSE
WA
01
—
CF3444
MEDICARE RR
IL
01
—
RN60822872
WA LICENSE
WA
Enumeration date
05/01/2007
Last updated
09/24/2024
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