Individual provider · NPI-1

Anna Ackermann, PA-C

Physician Assistant · Indianapolis, IN

NPI number1972237170
StatusActive
Last updated in NPPESNov 25, 2024

Details

NPI
1972237170
Entity type
Individual (NPI-1)
Name
Anna Ackermann
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2022
Certification date
Nov 25, 2024
Last updated
Nov 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10004598AINYes

Other names

  • Anna Brenneman (Former Name)

Practice location

8051 S Emerson Ave
Indianapolis, IN 46237-8600

Phone 317-790-3355

Mailing address

8051 S Emerson Ave
Indianapolis, IN 46237-8600

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