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Contact Information

MIRANDA C ACKERLEY, LPN IV
5550 AUTUMN LEAF DR APT 7
DAYTON, OH45426-1352
 Phone: 937-409-9709
 Fax: 877-350-2448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MIRANDA C ACKERLEY · (Female)

NPI # 1841420106
Status Active
Credentials LPN IV
Entity Individual
Enumeration date 07/21/2009
Last updated 07/21/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # PN128915IV
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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