Individual provider · NPI-1
Colleen Ackerman
Technician, Attendant Care Provider · Anchorage, AK
NPI number1104263367
StatusActive
Last updated in NPPESMay 29, 2013
Details
- NPI
- 1104263367
- Entity type
- Individual (NPI-1)
- Name
- Ms. Colleen Ackerman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2013
- Last updated
- May 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
120 N Hoyt StAnchorage, AK 99508-1602
Phone 907-279-7535
Mailing address
120 N Hoyt StAnchorage, AK 99508-1602
Phone 907-279-7535
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