Individual provider · NPI-1

Laura Ackerman, CFNP

Nurse Practitioner, Family · Grand Rapids, MI

NPI number1063449585
StatusActive
Last updated in NPPESNov 23, 2016

Details

NPI
1063449585
Entity type
Individual (NPI-1)
Name
Laura Ackerman
Credential
CFNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2006
Last updated
Nov 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704235109MIYes

Other names

  • Laura Gelderloos (Former Name)

Practice location

250 Cherry St Se
Grand Rapids, MI 49503-4608

Phone 616-685-5600 · Fax 616-685-6745

Mailing address

1900 44th St Se
Kentwood, MI 49508-5008

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Grand Rapids, MI