NPI 1831331602 · live from the CMS NPI Registry
Tara Marie Ackerly, FNP
Nurse Practitioner, Family in Danbury, CT. National Provider Identifier 1831331602, active.
NPI record
| NPI | 1831331602 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 41 Germantown Rd Ste B05, Anticoagulation Center, Danbury, CT 06810 |
| Practice phone | 203-739-7372 |
| Enumerated | March 25, 2009 |
| Last updated | September 1, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | F333573-1 (NY) |
| Nurse Practitioner, Family | 363LF0000X | 3624 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.