Individual provider · NPI-1

Vesta Marie Ackernecht

Nurse Practitioner, Family · Bethlehem, PA

NPI number1114793684
StatusActive
Last updated in NPPESNov 29, 2023

Details

NPI
1114793684
Entity type
Individual (NPI-1)
Name
Vesta Marie Ackernecht
Sex
Female
Sole proprietor
No
Enumeration date
Nov 27, 2023
Certification date
Nov 29, 2023
Last updated
Nov 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySPO27674PAYes

Practice location

635 E Broad St
Bethlehem, PA 18018-6332

Phone 610-820-7605

Mailing address

635 E Broad St
Bethlehem, PA 18018-6332

Phone 610-820-7605

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