Thad L Ackerman Valid NPI

Individual provider · Psychiatric/Mental Health Registered Nurse · Eureka, CA

NPI

1053837096

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0808X

License number

95108869 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-08-22

Last updated

2017-08-22