Elyssa Ackerman, MD
Family Medicine in Albuquerque, NM. Individual provider (NPI-1).
NPI number1356752257
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1356752257
- Entity type
- Individual (NPI-1)
- Name
- Elyssa Ackerman
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2014
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2017-1023 | NM | Yes |
Practice location
3420 Constitution Ave NeAlbuquerque, NM 87106-1238
Phone 505-738-3100
Mailing address
12127b Hwy 14 N Ste 5Cedar Crest, NM 87008-9557
Phone 505-814-1995
Other practice locations
12127b Hwy 14 N Ste 5
Cedar Crest, NM 87008-9557
Cedar Crest, NM 87008-9557
Phone 505-814-1995
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