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Contact Information

CARLY M ACKERMAN, RN
450 BLUE VALLEY DR
BANGOR, PA18013-1525
 Phone: 610-863-6101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CARLY M ACKERMAN · (Female)

NPI # 1295486843
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/14/2022
Last updated 01/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RN694613
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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