Individual provider · NPI-1

Katherine Anne Acker, FNP

Nurse Practitioner, Family · San Diego, CA

NPI number1235971144
StatusActive
Last updated in NPPESJun 11, 2024

Details

NPI
1235971144
Entity type
Individual (NPI-1)
Name
Katherine Anne Acker
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 11, 2024
Certification date
Jun 11, 2024
Last updated
Jun 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95030190CAYes

Practice location

5755 Oberlin Dr
San Diego, CA 92121-1786

Phone 760-828-2196

Mailing address

2323 Carroll Ln
Escondido, CA 92027-4910

Phone 619-626-4869

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